Document Detail

Teaching NeuroImages: Burkitt dural lymphoma mimicking a subacute subdural hematoma.
MedLine Citation:
PMID:  24145887     Owner:  NLM     Status:  In-Data-Review    
A 59-year-old woman with no history of trauma presented with severe headaches and right-sided weakness. A CT scan showed a left hemispheric isodense subdural collection thought consistent with a subacute subdural hematoma (figure 1A). The patient underwent a single parietal burr hole for evacuation, but the neurosurgeon found subdural fleshy tissue and performed a biopsy. Immediate postoperative MRI showed a homogeneous hypercellular subdural mass (figure 1, B-F).(1) Pathology was consistent with Burkitt lymphoma (figure 2). Retrospectively, the homogeneous density of the collection argued against hematoma. In nonemergent situations, an atypical radiologic appearance of a subdural hematoma may suggest the need for further radiologic investigations before surgical evacuation.(2.)
Bertrand Mathon; Aurélien Nouet; Chiara Villa; Karima Mokhtari; Hussa Alshehhi; Matthieu Faillot; Didier Dormont; Philippe Cornu; Delphine Leclercq
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology     Volume:  81     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e128-9     Citation Subset:  AIM; IM    
From the Departments of Neurosurgery (B.M., A.N., P.C.), Neuropathology (C.V., K.M., H.A.), and Neuroradiology (D.D., D.L.), Groupe Hospitalier Universitaire La Pitié-Salpêtrière, Université Pierre et Marie Curie, Paris; and Department of Polyvalent Recovery Unit (M.F.), Hôpital de Pontoise-Centre Hospitalier René Dubos-6, Cergy Pontoise Cedex, France.
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