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Bilateral symmetrical enhancing brainstem lesions: an unusual presentation of primary CNS lymphoma
Author(s) -
Larner Andrew J,
D'Arrigo Corrado,
Scaravilli Francesco,
Howard Robin S
Publication year - 1999
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1046/j.1468-1331.1999.660721.x
Subject(s) - medicine , brainstem , presentation (obstetrics) , lymphoma , pathology , primary (astronomy) , neuroscience , radiology , physics , astronomy , biology
We report a patient with a progressive brainstem syndrome, who on magnetic resonance imaging had large bilateral, symmetrical, contrast‐enhancing, infratentorial space‐occupying lesons. Biopsy of one of the lesions revealed this unusual appearance to be due to a primary central nervous system (CNS) lymphoma of B‐cell type. Symmetry of lesions may be a clue to the diagnosis, perhaps reflecting the mechanism by which CNS lymphomas spread.