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Malignant lymphoma presenting as a chronic subdural hematoma.
M G Reyes1, M F Homsi, M Mangkornkanong
1Division of Pathology (Neuropathology), Hektoen Institute for Medical Research, Cook County Hospital, Chicago, Illinois 60612.
Surgical Neurology
|January 1, 1990
Summary
Malignant lymphoma, a rare cancer, can mimic chronic subdural hematomas. This case highlights the importance of histopathology in diagnosing unusual presentations of subdural hematomas.
Area of Science:
- Neurology
- Oncology
- Pathology
Background:
- Chronic subdural hematomas (CSDH) are common in neurosurgical practice.
- Malignant lymphoma is a rare cause of intracranial masses.
Observation:
- A 56-year-old male presented with a recurrent encapsulated subdural hematoma.
- The patient underwent a right frontotemporoparietal craniotomy for hematoma evacuation.
Findings:
- Histopathologic examination revealed malignant lymphoma within the subdural hematoma.
- This represents a rare presentation of malignant lymphoma as a chronic subdural hematoma.
Implications:
- This case underscores the necessity of histopathological confirmation for subdural hematomas, especially atypical ones.
- Considering malignant lymphoma in the differential diagnosis of chronic subdural hematomas can aid in timely and appropriate treatment.