IBRAHIM Al-hassana Idriss , Hounkpatin Stachys , Mehome Wilfried , Setcheou Alexis , Sieleche Christian , Tankari Aboubacar , Sawa Brice , Jermidi Cynthia , Lethongsavarn Vincent , Helias Phillipe , Assoumane Ibrahim , Kelani Aminath , Rabhi Mohammed , Sanoussi Samuila , Do Laurent
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Abstract
Backgroung
Primary dural lymphoma is a very rare pathology arising from the dura mater. its clinical and radiological presentation is often similar to a meningioma. Treatment typically involves surgery followed by adjuvant radiotherapy/chemotherapy. Fewer than twenty cases have been described in the literature.
Case presentation
A 73-year-old woman with a medical history of hypertension, type 2 diabetes, and dyslipidemia presented with progressive right hemiparesis. Following diagnostic evaluation, a left fronto-temporal meningioma was initially diagnosed. Complete macroscopic excision was made and the immunohistochemical showed a follicular B lymphoma according. the patient had radiotherapy and chemotherapy sessions. Follow-up at 18 months was unremarkable.
Conclusion
Primary dural lymphoma is an exceptionally rare pathology, often mimicking the radiological appearance of a meningioma. The management relies on complete tumor excision, along with a combination of radiotherapy and chemotherapy. When administered appropriately, this treatment approach offers a favorable prognosis for patients.
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