An unusual presentation of primary malignant B-cell-type dural

Singapore medical journal · Nov 2014

Case Reports

An unusual presentation of primary malignant B-cell-type dural lymphoma.

Primary malignant B-cell-type dural lymphoma is a rare subtype of primary central nervous system lymphoma (PCNSL). We herein report an unusual case of diffuse B-cell lymphoma that presents as a chronic subdural haematoma without extracranial involvement. The notable aspects of this case include the patient's immunocompetence, a short clinical history of symptom onset, rapid neurological deterioration and a fi nal diagnosis of high-grade PCNSL. This case highlights the challenges neurosurgeons face, especially in the emergency setting, when the disease manifests in varied presentations.

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- Yin Yee Sharon Low, Siang Hui Lai, and Wai Hoe Ng.
- Department of Neurosurgery, National Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore 308433. sharon_yy_low@ nni.com.sg.
- Singapore Med J. 2014 Nov 1; 55 (11): e187e190e187-90.
AbstractPrimary malignant B-cell-type dural lymphoma is a rare subtype of primary central nervous system lymphoma (PCNSL). We herein report an unusual case of diffuse B-cell lymphoma that presents as a chronic subdural haematoma without extracranial involvement. The notable aspects of this case include the patient's immunocompetence, a short clinical history of symptom onset, rapid neurological deterioration and a fi nal diagnosis of high-grade PCNSL. This case highlights the challenges neurosurgeons face, especially in the emergency setting, when the disease manifests in varied presentations.

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An unusual presentation of primary malignant B-cell-type dural lymphoma.

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