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CASE REPORTS  


Journal of Neurosurgical Sciences 2000 Settembre;44(3):145-9

lingua: Inglese

An unusu­al ­case of pri­mary lym­pho­ma of the ­skull ­base extend­ing ­from cer­e­bel­lo­pon­tine ­angle to cav­ern­ous ­sinus and ­orbit. A ­case ­report

Jaiswal Awadhesh K. 1, Tripathi M. 2, Sarat Chandra P. 1, Sharma M. C. 3, Mahapatra A. K. 1

1 Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Dehli, India;
2 Department of Neurology, Neurosciences Centre, All India Institute of Medical Sciences, New Dehli, India;
3 Department of Neuropathology, Neurosciences Centre, All India Institute of Medical Sciences, New Dehli, India


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The ­authors ­describe a ­rare ­case of a pri­mary cen­tral ner­vous ­system lym­pho­ma of the cer­e­bel­lo­pon­tine ­angle, extend­ing ­into the ­right cav­ern­ous ­sinus and ­orbit. The ­patient pre­sent­ed ­with mul­ti­ple ­right sid­ed cra­ni­al ­nerve pal­sies and rap­id­ly pro­gres­sive prop­to­sis and oph­thal­mo­ple­gia of the ­right eye. Imaging ­revealed a cer­e­bel­lo­pon­tine ­angle ­mass extend­ing ­into cav­ern­ous ­sinus. Surgical decom­pres­sion of the ­tumor was under­tak­en ­through a ­right sid­ed ret­ro­mas­toid cra­niec­to­my. Histopathology ­revealed Non Hodgkin’s lym­pho­ma of dif­fuse ­large ­cell ­type. There was no evi­dence of system­ic lym­pho­ma. Primary lym­pho­ma of cer­e­bel­lo­pon­tine ­angle ­with ­direct exten­sion ­into cav­ern­ous ­sinus and ­orbit is ­rare and to our knowl­edge ­this is the ­only ­case report­ed.

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