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J Neurocrit Care 2012;5(2): 50-52.
A Case of Primary Central Nervous System Lymphoma Mimicking Acute Disseminated Encephalomyelitis
Sung-Hoon Lee, MD, Eun Joo Chung, MD, PhD, Eung Gyu Kim, MD, PhD,Sang Jin Kim, MD, PhD, Jeong-Suk Bae, MD and Ki-Hwan Ji, MD
Department of Neurology, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea
Background: In recent years, the frequency of primary central nervous system lymphoma (PCNSL) has increased, even among immunocompetent patients. In order to treat the disease optimally, early diagnosis is important.
Case Report: We describe a 44-year-old woman presented with visual disturbance. Clinical symptoms of patient were progressively worsening despite of steroid treatment. Brain MRI lesions were seemed like acute disseminated encephalomyelitis, but stereotactic biopsy revealed PCNSL.
Conclusions: Atypical clinical signs and symptoms could delay diagnosis of PCNSL. If patient would be worsened despite of steroid therapy, early brain biopsy may lead out exact diagnosis and then optimal treatment.
Key Words: Acute disseminated encephalomyelitis · Primary central nervous system lymphoma
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