Table of Contents

q4207

73-year-old patient, admitted for a infiltrative lesion highly suggestive of Primary leptomeningeal lymphoma.

Past Medical History

Hypercholesterolemia

Depression

Hydrocephalus. Endoscopic third ventriculostomy

Treatment

Simvastatin

Desvenlafaxine.

History of the present illness

Abnormal gait with instability and a feeling of magnetism in it, accompanied by bradypsychia and occasional memory failures.

Test results

MRI

Regarding the last previous control, there are no significant variations, however, when comparing the evolution of the previous studies over the last 2 years, a constant progression is identified both in FLAIR and in the diffusion of periventricular predominance, especially at the right parietal level, with involvement of the splenium of the corpus callosum and in the right hemiprotuberance in the last 2 studies, both in diffusion and in FLAIR, with a progressive increase in uptake, without clear images of mass effect at the current time. The lesion is highly suggestive of lymphoma.