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Preoperative image showing frontal and parietal swellings.
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There were two scalp swellings on the left parietal and the frontal regions ( Figure 1) which were soft and fluctuant.
CT image showing hyperintense lesion surrounding the skull bone.
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C. Computed tomography (CT) scan of the head was performed, revealing a dural-based hyperintense lesion on the frontal and parietal region with subfalcine herniation ( Figure 2 and Figure 3) and honeycomb appearance of the involved bone ( Figure 4).
CT image showing the herniation syndrome with gross mass effect.
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C. Computed tomography (CT) scan of the head was performed, revealing a dural-based hyperintense lesion on the frontal and parietal region with subfalcine herniation ( Figure 2 and Figure 3) and honeycomb appearance of the involved bone ( Figure 4).
CT image showing the 'Honeycomb' appearance of the involved bone.
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C. Computed tomography (CT) scan of the head was performed, revealing a dural-based hyperintense lesion on the frontal and parietal region with subfalcine herniation ( Figure 2 and Figure 3) and honeycomb appearance of the involved bone ( Figure 4).
Photograph of the involved dura.
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Surgery revealed a dural-based lesion ( Figure 5) that was moderately vascular, soft and friable in consistency with involved bone showing a moth-eaten appearance ( Figure 6).
Photograph of the involved bone showing the typical 'honeycomb' appearance.
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Surgery revealed a dural-based lesion ( Figure 5) that was moderately vascular, soft and friable in consistency with involved bone showing a moth-eaten appearance ( Figure 6).
Intraoperative photograph showing the extra-calvarial extension of the lesion.
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Both extra- and intra-dural extension ( Figure 7 and Figure 8) of the lesion was seen.
Photograph showing the portion with intradural extension.
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Both extra- and intra-dural extension ( Figure 7 and Figure 8) of the lesion was seen.
Post-operative CT image showing gross excision of lesion with resolution in mass effect.
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A post-operative scan showed gross excision of the lesions and absence of mass effect ( Figure 9).
Histopathological slide showing characteristic small round blue cells with prominent nucleoli.
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The HPE revealed an immunoblastic variant of diffuse large cell lymphoma ( Figure 10).