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

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Singapore Med J 2014; 55(11): e187-e190; http://dx.doi.org/10.11622/smedj.2014168
An unusual presentation of primary malignant B-cell-type dural lymphoma

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Low YS, Lai SH, Ng WH
Correspondence: Dr Low Yin Yee Sharon, sharon_yy_low@nni.com.sg

ABSTRACT
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.

Keywords: chronic subdural haematoma, primary central nervous system lymphoma, primary dural lymphoma
Singapore Med J 2014; 55(11): e187–e190; http://dx.doi.org/10.11622/smedj.2014168

http://smj.org.sg/sites/default/files/5511/5511cr6.pdf

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