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[Stroke-like presentation of cerebral lymphoma]

I Sibon1, F Yekhlef, A Vital

  • 1Fédération des Neurosciences Cliniques. igor.sibon@chu-bordeaux.fr

Revue Neurologique
|January 29, 2005
PubMed
Abstract

Insights

Primary cerebral lymphoma presents diversely, often mimicking stroke. This case highlights a diagnostic challenge with a rare B cell lymphoma presenting as recurrent neurological events and a mesencephalic lesion.

Area of Science:

  • Neurology
  • Oncology
  • Neuroimaging

Background:

  • Primary cerebral lymphoma (PCL) is a rare central nervous system malignancy.
  • PCL can manifest with varied clinical symptoms, complicating early diagnosis.

Observation:

  • A patient presented with recurrent neurological deficits suggestive of stroke.
  • Initial brain Magnetic Resonance Imaging (MRI) scans were unremarkable.
  • A delayed MRI revealed a mesencephalic lesion, prompting further investigation.

Findings:

  • Biopsy confirmed the diagnosis of primary B cell lymphoma.
  • The patient's presentation mimicked cerebrovascular events due to the lymphoma's location and nature.

Implications:

  • This case underscores the diagnostic difficulties associated with PCL.
  • Prompt recognition and biopsy are crucial for managing this rare and aggressive condition.

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