[Malignant lymphoma with subdural effusion].
A 64-year-old woman was admitted for treatment of malignant lymphoma involving the pharynx and abdomen. Lymphoma disappeared after chemotherapy and radiotherapy, but she had central nervous system symptoms; euphorism, left facial nerve palsy, right hemiplesia, and disturbance of micturition. Magnetic resonance imaging (MRI) revealed a diffuse dural thickening and a subdural fluid retention. The subdural fluid was determined to be an exudate, and a biopsy of the dura mater revealed a normal dura and a fibrin clot containing lymphoma cells and neutrophils. MRI can be very useful to detect the meningeal involvement of malignant lymphoma.
Ohtsuki
T
T
Internal Medicine III, National Defense Medical College.
Nishimatsu
H
H
Mizukami
H
H
Makishima
M
M
Ohnishi
M
M
Kimura
F
F
Motoyoshi
K
K
Nagata
N
N
D005260:Female; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000150:complications*; D008875:Middle Aged; D013353:Subdural Effusion / Q000209:etiology*