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Case Reports
. 1999 Nov;6(6):721-3.
doi: 10.1046/j.1468-1331.1999.660721.x.

Bilateral symmetrical enhancing brainstem lesions: an unusual presentation of primary CNS lymphoma

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Case Reports

Bilateral symmetrical enhancing brainstem lesions: an unusual presentation of primary CNS lymphoma

A J Larner et al. Eur J Neurol. 1999 Nov.

Abstract

We report a patient with a progressive brainstem syndrome, who on magnetic resonance imaging had large bilateral, symmetrical, contrast-enhancing, infratentorial space-occupying lesions. Biopsy of one of the lesions revealed this unusual appearance to be due to a primary central nervous system (CNS) lymphoma of B-cell type. Symmetry of lesions may be a clue to the diagnosis, perhaps reflecting the mechanism by which CNS lymphomas spread.

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