Primary central nervous system lymphoma masquerading as herpes encephalitis: Clinical, magnetic resonance imaging, and pathologic findings

被引：10

作者：

Giglio, P

Bakshi, R

Block, S

Ostrow, P

Pullicino, PM

机构：

[1] SUNY Buffalo, Buffalo Neuroimaging Anal Ctr, Sch Med & Biomed Sci, Buffalo, NY 14203 USA

[2] SUNY Buffalo, Dept Neurol, Sch Med & Biomed Sci, Buffalo, NY 14203 USA

[3] SUNY Buffalo, Dept Imaging Serv, Sch Med & Biomed Sci, Buffalo, NY 14203 USA

[4] SUNY Buffalo, Dept Pathol Neuropathol, Sch Med & Biomed Sci, Buffalo, NY 14203 USA

[5] SUNY Buffalo, Jacobs Neurol Inst, Sch Med & Biomed Sci, Buffalo, NY 14203 USA

[6] SUNY Buffalo, Kaleida Hlth, Sch Med & Biomed Sci, Buffalo, NY 14203 USA

来源：

AMERICAN JOURNAL OF THE MEDICAL SCIENCES | 2002年 / 323卷 / 01期

关键词：

magnetic resonance imaging; brain; lymphoma; herpes encephalitis;

D O I：

10.1097/00000441-200201000-00011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 84-year-old man presented with acute confusion, global aphasia, and fever. Magnetic resonance imaging (MRI) showed hyperintense lesions on T2-weighted and fluid-attenuated inversion recovery (FLAIR) images predominantly affecting the cortical gray matter of the left mesial temporal and inferior frontal lobes, and insula. Acyclovir was prescribed for presumed viral encephalitis. Clinical and MRI worsening prompted a left temporal lobe biopsy that revealed primary central nervous system lymphoma (PCNSL). This case adds to the MRI spectrum of PCNSL and illustrates that it may mimic the clinical and MRI presentation of herpes simplex encephalitis.

引用

页码：59 / 61

页数：3

共 7 条

[1] Lymphomatosis cerebri presenting as a rapidly progressive dementia: Clinical, neuroimaging and pathologic findings [J].