• World Neurosurg · Dec 2018

    Case Reports

    Solitary Extramedullary Plasmacytoma Mimicking Acute Subdural Hematoma.

    • Baris Ozoner, Ahmet Levent Aydin, Seckin Aydin, Canan Tanik, Ahmet Uyanoglu, and Ahmet Murat Musluman.
    • Department of Neurosurgery, Erzincan University, Faculty of Medicine, Erzincan, Turkey.
    • World Neurosurg. 2018 Dec 1; 120: 521-524.

    BackgroundSolitary extramedullary plasmacytoma (SEP) is a plasma cell neoplasm located outside the bone. It is rarely observed in the intracranial area. It is very difficult to diagnose this condition radiologically before surgery. In addition, dural SEP is usually misdiagnosed.Case DescriptionWe report a case of plasmacytoma that presented as altered mental status after head trauma, located in the subdural area. We also describe its differential diagnosis and treatment by total removal and adjuvant radiotherapy. The 66-month follow-up findings showed distant plasmacytoma development, which was treated with radiotherapy alone.ConclusionsSome pathological entities should be considered in the differential diagnosis of acute subdural hematomas. Furthermore, to the best of our knowledge, we report the first case of dural SEP mimicking acute subdural hematoma.Copyright © 2018 Elsevier Inc. All rights reserved.

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