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J Neurol Neurosurg Psychiatry 2007;78:769 doi:10.1136/jnnp.2006.110239
  • Neurological picture

Massive transcalvarial lymphoma

  1. Christopher Edward Graveson Uff,
  2. Colin Louis Shieff
  1. Neurosurgery Department, Royal Free Hospital, London, UK
  1. Correspondence to:
 Mr Christopher Edward Graveson Uff
 Neurosurgery Department, 11th floor, Royal Free Hospital, Pond St, Hampstead, London NW3 2QG, UK; chrisuff{at}hotmail.com

    A 76-year-old woman presented with a 2 week history of left-sided hemiparesis thought to be caused by a stroke, and a progressively enlarging lump on the back of her head which was thought to be a haematoma. Subsequent scans showed the lesion to extend intracranially (fig 1), with involvement of the intervening bone (fig 2).

    Figure 1

     Enhanced axial CT scan showing the tumour …

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