J Korean Neurol Assoc.
2010 Feb;28(1):59-62.
Temporary Spontaneous Remission in Primary CNS Lymphoma
- Affiliations
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- 1Department of Neurology, Seoul Veterans Hospital, Seoul, Korea. hippocam@naver.com
- 2Department of Pathology, Seoul Veterans Hospital, Seoul, Korea.
Abstract
- Spontaneous remission in untreated primary central nervous system lymphoma is rare. A 66-year-old man was admitted with dizziness and gait disturbance. Initial fluid-attenuated inversion-recovery images revealed hyperintensities in the upper brainstem, left temporal lobe, and right occipital lobe. The patient's symptoms and lesions disappeared spontaneously after 1 month. However, he was readmitted after 4 months with right hemiparesis. Magnetic resonance imaging revealed a homogenous enhanced lesion in the left basal ganglia with a vasogenic pattern. This disease warranted biopsy, which revealed large B-cell lymphoma.
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