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Instituto Nacional de Neurología y Neurocirugía

2007, Number 1

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Arch Neurocien 2007; 12 (1)

Uncal herniation due an intracranial plasmacytoma

García GU, Romero VS, Jara RB, Vega R, Ledesma GE, Ruvalcaba GR, Gómez AJL, Gómez-Llata S

Language: Spanish
References: 21
Page: 55-58
PDF size: 94.41 Kb.


ABSTRACT

Describe a case of a 51 year old female with medical background of multiple myeloma that complained of right hemiparesis and neurological examination revealed signs of intracranial hypertension and uncal herniation. Computed tomography showed an osteolitic epidural high-density mass with marked homogeneous enhancement. At surgery a soft yellowish tumor was totally resected. The pathological analysis revealed a plasmacytoma. After radiation, the postoperative course over the following ten months was uneventful. However, since clinicopatholgic studies have identified extramedullary plasmacytomas with skull bone location, the epidural mass effect is an infrequent clinical presentation. Clinical, neuroradiological features and surgical treatment of this unusual lesion are discussed.


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