Can intravascular lymphomatosis mimic sinus thrombosis? A case report with 8 months' follow-up and fatal outcome.
We report a case of intravascular lymphomatosis of the brain with 8 months' follow-up and fatal outcome. Several MRI investigations revealed variegated, rapidly changing infarct-like lesions and invasion of the walls of the superior sagittal sinus and deep veins. When disturbances of the venous outflow are detected with multifocal infarct-like lesions, intravascular lymphomatosis should be considered in the differential diagnosis. Brain biopsy may ensure the proper diagnosis ante mortem, but failure of biopsy is frequent, as in our case.
Natl. Instit. of Psychiatry and Neurology, Department of Neuroradiology, Budapest, Hungary. H9105ken@ella.hu
J
J
Kenéz
P
P
Barsi
K
K
Majtényi
B
B
Molnár
I
I
Kocher
E
E
Stangl
S
S
Komoly
D000328:Adult; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology; D002536:Cerebral Arteries / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000473:pathology; D002544:Cerebral Infarction / Q000175:diagnosis / Q000473:pathology; D002550:Cerebral Veins / Q000473:pathology; D002561:Cerebrovascular Disorders / Q000175:diagnosis* / Q000473:pathology; D003392:Cranial Sinuses / Q000473:pathology; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016393:Lymphoma, B-Cell / Q000175:diagnosis* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis* / Q000473:pathology; D019043:Vascular Neoplasms / Q000175:diagnosis* / Q000473:pathology