Saidy Jihane, Bertal Abderrazzak, Hmada Saad, Aamara Nidal, Tahrir Yassine, Mokhliss Sara, Karkouri Mohamed, Naja Abdessamad, Lakhdar Abdelhakim
Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco.
Ann Med Surg (Lond). 2022 Jun 11;79:103984. doi: 10.1016/j.amsu.2022.103984. eCollection 2022 Jul.
Primary Dural lymphoma (PDL) is a rare pathology that occurs in immunocompetent patients. In such cases, these lesions may mimic more common intracranial tumors. We present the case of a patient who presented an intra cranial hypertension syndrome; the brain MRI showed a tissular mass that we took for a meningioma; upon surgical intervention, an occult mass was discovered. Major excision and immunohistochemistry demonstrated PDL. Our case report highlights the rarity of these pathology and the importance of combined surgery and medical treatment, as the latter can be treated with chemoradiation with good clinical outcomes.
原发性硬脑膜淋巴瘤(PDL)是一种发生于免疫功能正常患者的罕见病理类型。在这类病例中,这些病变可能类似更常见的颅内肿瘤。我们报告一例出现颅内高压综合征的患者;脑部磁共振成像(MRI)显示一个组织肿块,我们起初认为是脑膜瘤;手术干预时,发现了一个隐匿性肿块。大体切除及免疫组化显示为原发性硬脑膜淋巴瘤。我们的病例报告突出了这类病理类型的罕见性以及联合手术和药物治疗的重要性,因为后者可通过放化疗进行治疗,临床效果良好。