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Headache as the Only Presentation of Intravascular Lymphoma

Authors

  • So-Hyang Im MD,

    1. From the Department of Neurosurgery, Dongguk University Hospital, Gyeonggi-do, Korea (S.-H. Im); Neurology, Dongguk University Hospital, Gyeonggi-do, Korea (N.-H. Kim); Department of Neurology, College of Medicine, Kangwon National University Hospital, Kangwon-do, Korea (S.-Y. Lee). [Correction added after online publication 20-Feb-2008: Drs. Kim and Lee's affiliations have been transposed.]
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  • Seo-Young Lee MD,

    1. From the Department of Neurosurgery, Dongguk University Hospital, Gyeonggi-do, Korea (S.-H. Im); Neurology, Dongguk University Hospital, Gyeonggi-do, Korea (N.-H. Kim); Department of Neurology, College of Medicine, Kangwon National University Hospital, Kangwon-do, Korea (S.-Y. Lee). [Correction added after online publication 20-Feb-2008: Drs. Kim and Lee's affiliations have been transposed.]
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  • Nam-Hee Kim MD

    1. From the Department of Neurosurgery, Dongguk University Hospital, Gyeonggi-do, Korea (S.-H. Im); Neurology, Dongguk University Hospital, Gyeonggi-do, Korea (N.-H. Kim); Department of Neurology, College of Medicine, Kangwon National University Hospital, Kangwon-do, Korea (S.-Y. Lee). [Correction added after online publication 20-Feb-2008: Drs. Kim and Lee's affiliations have been transposed.]
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  • Conflict of Interest: None

S.-H. Im, Neurosurgery, Dongguk University Hospital, 814, Siksa-dong, Ilsandong-gu, Goyang-si, Gyeonggi-do, Goyang-si 410-773, Korea.

Abstract

Intravascular lymphoma (IVL) is a rare extranodal lymphoma, presenting with confusing clinical presentations and most cases have been diagnosed during the postmortem review. We report a case of IVL diagnosed by cerebrospinal fluid (CSF) examination and bone marrow biopsy in a patient with a daily headache from onset. In case of a daily headache from onset with normal neuroimagings, CSF examination may give any significant diagnostic clue and should be a consideration to exclude such causes as hematolymphoid malignancies, including the very rare IVL.

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