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Primary Central Nervous System Lymphoma of Optic Chiasma: Endoscopic Endonasal Treatment. | LitMetric

Primary Central Nervous System Lymphoma of Optic Chiasma: Endoscopic Endonasal Treatment.

J Craniofac Surg

Department of Pathology, School of Medicine Hospital, University of Ankara, Ankara, Turkey.

Published: January 2018

AI Article Synopsis

Article Abstract

Background: Isolated primary central nervous system lymphoma arising from anterior visual pathway is very rare.

Patient Presentation: A 76-year-old immunocompetent previously healthy man presented bilateral decreased visual acuity in 1 month. Pituitary magnetic resonans imaging (MRI) showed a lobulated mass with homogeneous enhancement after gadolinium administration that arising from optic chiasm suggested that inflammatory disease or an optic glioma. The patient underwent an extended endoscopic endonasal transsphenoidal surgery. Postoperative course and outcomes were wonderful. Histopathological diagnosis was diffuse large B-cell lymphoma. The patient underwent investigations for systemic lymphomatous involvement, did not detect any evidence of systemic disease.

Conclusion: In this case, we claimed that differential diagnoses of anterior visual pathway lesions are difficult because of similarity of lesions on clinical and radiological examinations. Biopsy is essential for these lesions. As a biopsy technique, endoscopic endonasal transsphenoidal approach is safer and more effective than open procedures.

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000004059DOI Listing

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