A Case of Metastatic T-cell Lymphoma Involving Both Temporal Lobe

J Korean Neurol Assoc > Volume 19(4); 2001 > Article

Journal of the Korean Neurological Association 2001;19(4): 417-422.

양측 측두엽을 침범한 전이성 T세포 림프종 환자 1예

오형근, 하삼열 윤영철 권오상 이태진*

중앙대학교 의과대학 신경과학교실,해부병리학교실*

A Case of Metastatic T-cell Lymphoma Involving Both Temporal Lobe

"Hyung-Geun Oh, M.D., Sam-Yeol Ha,M.D., Young-Chul Yoon,M.D., Oh-Sang Kwon,M.D, Tae-Jin Lee,M.D.*"

Department of Neurology and Pathology*, College of Medicine, Chung-Ang University

Abstract

"In the metastatic CNS lymphoma, parenchymal involvement, especially in both temporal lobes, is rare. A 54-year-old man complained of memory impairment and personality changes that began two weeks prior. He had ulcerated skin lesions and multiple subcutaneous nodules. Brain MRI revealed a diffuse low in T1WI, high in T2WI, and contrast-enhancement in both temporal lobes. Treatment was done with acyclovir and dexamethasone, and symptoms were improved. One week later, symptoms were aggravated and a brain biopsy was performed. The result was a peripheral T-cell lymphoma. J Korean Neurol Assoc 19(4):417~422, 2001 Key Words : Metastatic CNS lymphoma, Both temporal lobe, Dexamethasone"