Summary
Primary ventriculitis form of primary CNS lymphoma (PCNSL) is very rare and difficult to diagnose from radiological findings. A 55-year-woman presented with a cystic mass in the lateral ventricle without evidence of demonstrable malignant cells in the cerebrospinal fluid (CSF). The endoscopic biopsy showed a ventriculitis-like thin web on the surface of the ventricular wall around the foramen of Monro, resulting in obstruction. Pathological diagnosis was non-Hodgkin’s lymphoma, B cell type. This case suggests that PCNSL should be considered as a differential diagnosis for a cystic ventricular lesion even with no malignant cells in the CSF.
This is a preview of subscription content, log in via an institution to check access.
References
C Balmaceda JJ Gaynor M Sun JT Gluck LM DeAngelis (1995) ArticleTitleLeptomeningeal tumor in primary central nervous system lymphoma: recognition, significance, and implications Ann Neurol 38 202–209 Occurrence Handle7654067 Occurrence Handle10.1002/ana.410380212 Occurrence Handle1:STN:280:DyaK2Mzot1Kgug%3D%3D
U Buhring U Herrlinger T Krings R Thiex M Weller W Kuker (2001) ArticleTitleMRI features of primary central nervous system lymphomas at presentation Neurology 57 393–396 Occurrence Handle11515505 Occurrence Handle1:STN:280:DC%2BD3MvntVGrsw%3D%3D
A Coulon F Lafitte K Hoang-Xuan N Martin-Duverneuil K Mokhtari J Blustajn J Chiras (2002) ArticleTitleRadiographic findings in 37 cases of primary CNS lymphoma in immunocompetent patients Eur Radiol 12 329–340 Occurrence Handle11870430 Occurrence Handle10.1007/s003300101037 Occurrence Handle1:STN:280:DC%2BD387jsVKmtg%3D%3D
N Erdag RM Bhorade RA Alberico N Yousuf MR Patel (2001) ArticleTitlePrimary lymphoma of the central nervous system: typical and atypical CT and MR imaging appearances Am J Roentgenol 176 1319–1326 Occurrence Handle1:STN:280:DC%2BD3MzotlSlug%3D%3D
RK Gupta S Naran S Lallu R Fauck (2004) ArticleTitleCytodiagnosis of neoplasms of the central nervous system in cerebrospinal fluid samples with an application of selective immunostains in differentiation Cytopathology 15 38–43 Occurrence Handle14748790 Occurrence Handle10.1046/j.1365-2303.2003.00112.x Occurrence Handle1:STN:280:DC%2BD2c%2FkvVeisw%3D%3D
FH Hochberg DC Miller (1988) ArticleTitlePrimary central nervous system lymphoma J Neurosurg 68 835–853 Occurrence Handle3286832 Occurrence Handle1:STN:280:DyaL1c3ivFynsQ%3D%3D Occurrence Handle10.3171/jns.1988.68.6.0835
CR Jack BP O’Neill PM Banks DF Reese (1988) ArticleTitleCentral nervous system lymphoma: histologic types and CT appearance Radiology 167 211–215 Occurrence Handle3279454
CN Jenkins IR Colquhoun (1998) ArticleTitleCharacterization of primary intracranial lymphoma by computed tomography: an analysis of 36 cases and a review of the literature with particular reference to calcification haemorrhage and cyst formation Clin Radiol 53 428–434 Occurrence Handle9651058 Occurrence Handle10.1016/S0009-9260(98)80271-7 Occurrence Handle1:STN:280:DyaK1czhtlSkug%3D%3D
BA Johnson EK Fram PC Johnson R Jacobowitz (1997) ArticleTitleThe variable MR appearance of primary lymphoma of the central nervous system: comparison with histopathologic features AJNR 18 563–572 Occurrence Handle9090424 Occurrence Handle1:STN:280:DyaK2s3ksFOmtA%3D%3D
H Lanfermann W Heindel J Schaper R Schroder ML Hansmann R Lehrke RI Ernestus K Lackner (1997) ArticleTitleCT and MR imaging in primary cerebral non-Hodgkin’s lymphoma Acta Radiol 38 259–267 Occurrence Handle9093162 Occurrence Handle1:STN:280:DyaK2s3kslSitQ%3D%3D Occurrence Handle10.3109/02841859709172060
WR Wasserstrom JP Glass JB Posner (1982) ArticleTitleDiagnosis and treatment of leptomeningeal metastases from solid tumors: Experience with 90 patients Cancer 49 759–772 Occurrence Handle6895713 Occurrence Handle10.1002/1097-0142(19820215)49:4<759::AID-CNCR2820490427>3.0.CO;2-7 Occurrence Handle1:STN:280:DyaL387hsV2ltw%3D%3D
MH Werner S Phuphanich GH Lyman (1995) ArticleTitleThe increasing incidence of malignant gliomas and primary central nervous system lymphoma in the elderly Cancer 76 1634–1642 Occurrence Handle8635069 Occurrence Handle10.1002/1097-0142(19951101)76:9<1634::AID-CNCR2820760921>3.0.CO;2-0 Occurrence Handle1:STN:280:DyaK283itlahtw%3D%3D
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Park, S., Yoon, S. & Cho, K. An endoscopically proven ventriculitis-type, cyst-like intraventricular primary lymphoma of the central nervous system. Acta Neurochir (Wien) 148, 981–984 (2006). https://doi.org/10.1007/s00701-006-0797-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00701-006-0797-2