Primary CNS lymphoma

Case contributed by Erik Ranschaert
Diagnosis certain

Presentation

Equilibrium problems for more than a year.

Patient Data

Age: 60 years
Gender: Female

MRI Brain

mri
This study is a stack
Axial
T1 C+
This study is a stack
Coronal
T1 C+
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Info

Multilobular mass primarily located in the cortex and gyri of the right parietal and temporal lobes, with considerable mass-effect. There also is some leptomeningeal contrast enhancement. Significant mass effect with infratentorial herniation of the medial right lobe.

Case Discussion

Biopsy-proven primary CNS lymphoma (NHL-type) with leptomeningeal spread and Kernohan's phenomenon

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