Can Extra-Axial Hypodense Lesion be Sub-Dural Hematoma or Meningioma or Non Hodgkins Lymphoma?
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 5
Abstract
Abstract: A previously healthy 40 year old female admitted in NeuroSurgical department with complaints of, intermittent headache for 1 week, altered sensorium for 2 days and has 3 episodes of convulsions, loss of consciousness, right facio brachial paresis. Computed tomography scan of Brain showed hypodense extra-axial lesion of left fronto-temporo-parietal region with midline shift of 12mm and was reported as chronic Sub-dural Hematoma associated with mass affect. MRI of Brain showed an extra-axial Sub-dural Supratentorial large left fronto-temporo-parietal cresentic shaped mass with surrounding edema which is well defined and merged with adjacent normal dura. She underwent left fronto-temporo-parietal craniotomy and excision of tumor done. Histopathological examination and immunohistochemistry showed tumor tissue suggestive of Non Hodgkin’s lymphoma. Post operatively, patient was referred to Regional Institute of Oncology for the needful Radiotherapy and Chemotherapy.
Authors and Affiliations
Dr. Sreedharala Srinivasa Satyanarayana, Dr. Ginjupally Dhanunjaya Rao
Keywords
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