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Received date: 18/03/2023 Published date: 12/05/2023 Clinical image

Lymphomatous leptomeningitis

Chait Fatima*, MD; Bahlouli Nourrelhouda , MD; Ramdani Hanae, MD; Jroundi Leila , MD; Laamrani FZ,MD.

Emergency radiology Department, University Hospital Ibn Sina, Rabat, Morocco

*Corresponding author

F. Chait, Emergency radiology Department, University Hospital Ibn Sina, Rabat, Morocco

DOI: 10.55920/JCRMHS.2023.04.001161

Abstract

Keywords : Lymphomatous leptomeningitis, MRI.

Clinical image

Lymphomatous leptomeningitis, refers to the spread of malignant cells into the CSF space by haematogenous spread. The clinical presentation is varied. Headache is the main symptom. MRI shows a leptomeningeal thickening with intermediate signal on T2 ( ‘’A ‘’ white arrow) , Flair and T1, strongly enhanced after injection of gadolinium ( “B-C ‘’white arrow). It is secondary to leptomeningeal metastatic deposits by dissemination of cancer cells along the meningeal surface. Postcontrast T1WI is the diagnostic sequence of choice in Lymphomatous leptomeningitis.

Declaration of Interests : The authors declare that they have no competing interests.

Figures : Brain MRI sequences of a 37 year old man, treated for a mediastinal Hodgkin's lymphoma, under chemotherapy,who presents epileptic seizures. Showing temporal and basifrontal leptomeningeal thickening, enhanced after gadolinium injection(white arrow)

Journal of Clinical Case Reports, Medical Images and Health Sciences (ISSN 2832-1286) is a peer-reviewed journal dedicated to publishing clinical images from all sectors of medicine. The goal of this magazine is to disseminate information about new discoveries and treatments in science and medicine.

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