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[Primary cerebral lymphoma in 10 patients with AIDS. Comparative clinico-radiologic study with cerebral toxoplasmosis, cerebral tuberculoma and primary cerebral lymphoma in non-immunodepressed patients].

Abstract

BACKGROUND

Primary central nervous system lymphoma (PCNSL) is the second cause of cerebral masses in patients with the acquired immunodeficiency syndrome (AIDS). The present study evaluated the possible presence of clinical or radiologic signs permitting differentiation of AIDS patients and PCNSL from those with cerebral masses of other etiologies.

METHODS

Clinical history and cranial computerized tomography (CT) of patients with PCNSL and AIDS from the Hospital Clinic i Provincial in Barcelona were reviewed. Results were compared with those of patients with PCNSL without evidence of immunosuppression and with those with AIDS and cerebral toxoplasmosis or tuberculoma diagnosed during the same period.

RESULTS

Of 685 patients with AIDS, 10 were identified with PCNSL. The clinical picture was not different to that observed in patients with AIDS and cerebral toxoplasmosis or tuberculomas. In contrast to PCNSL in non immunodepressed patients, the cerebral CT in patients with PCNSL and AIDS demonstrated hyperdense lesions in only 44% and contrast enhancement was not homogeneous in any case. These characteristics were similar to those observed in the CT of patients with cerebral toxoplasmosis or tuberculoma with the exception that only 8% of the lesions by toxoplasmosis were spontaneously hyperdense.

CONCLUSIONS

The clinical-radiological data of primary central nervous system lymphoma in patients with the acquired immunodeficiency syndrome are similar to those observed in other etiologies. However, the presence of a sole spontaneously hyperdense region in cranial computerized tomography is more suggestive of primary central nervous system lymphoma than cerebral toxoplasmosis.

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  • Authors+Show Affiliations

    ,

    Servicio de Neurología, Hospital Clínic i Provincial, Barcelona.

    , , , , , ,

    Source

    Medicina clinica 99:4 1992 Jun 20 pg 128-31

    MeSH

    Acquired Immunodeficiency Syndrome
    Adult
    Brain Neoplasms
    Female
    Humans
    Lymphoma, B-Cell
    Male
    Retrospective Studies
    Tomography, X-Ray Computed
    Toxoplasmosis, Cerebral
    Tuberculoma, Intracranial

    Pub Type(s)

    Case Reports
    Comparative Study
    Journal Article

    Language

    spa

    PubMed ID

    1635405

    Citation

    Arbaiza, D, et al. "[Primary Cerebral Lymphoma in 10 Patients With AIDS. Comparative Clinico-radiologic Study With Cerebral Toxoplasmosis, Cerebral Tuberculoma and Primary Cerebral Lymphoma in Non-immunodepressed Patients]." Medicina Clinica, vol. 99, no. 4, 1992, pp. 128-31.
    Arbaiza D, Pujol M, Conde C, et al. [Primary cerebral lymphoma in 10 patients with AIDS. Comparative clinico-radiologic study with cerebral toxoplasmosis, cerebral tuberculoma and primary cerebral lymphoma in non-immunodepressed patients]. Med Clin (Barc). 1992;99(4):128-31.
    Arbaiza, D., Pujol, M., Conde, C., Abós, J., Miró, J. M., Mercader, J. M., ... Graus, F. (1992). [Primary cerebral lymphoma in 10 patients with AIDS. Comparative clinico-radiologic study with cerebral toxoplasmosis, cerebral tuberculoma and primary cerebral lymphoma in non-immunodepressed patients]. Medicina Clinica, 99(4), pp. 128-31.
    Arbaiza D, et al. [Primary Cerebral Lymphoma in 10 Patients With AIDS. Comparative Clinico-radiologic Study With Cerebral Toxoplasmosis, Cerebral Tuberculoma and Primary Cerebral Lymphoma in Non-immunodepressed Patients]. Med Clin (Barc). 1992 Jun 20;99(4):128-31. PubMed PMID: 1635405.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - [Primary cerebral lymphoma in 10 patients with AIDS. Comparative clinico-radiologic study with cerebral toxoplasmosis, cerebral tuberculoma and primary cerebral lymphoma in non-immunodepressed patients]. AU - Arbaiza,D, AU - Pujol,M, AU - Conde,C, AU - Abós,J, AU - Miró,J M, AU - Mercader,J M, AU - Ribalta,T, AU - Graus,F, PY - 1992/6/20/pubmed PY - 1992/6/20/medline PY - 1992/6/20/entrez SP - 128 EP - 31 JF - Medicina clinica JO - Med Clin (Barc) VL - 99 IS - 4 N2 - BACKGROUND: Primary central nervous system lymphoma (PCNSL) is the second cause of cerebral masses in patients with the acquired immunodeficiency syndrome (AIDS). The present study evaluated the possible presence of clinical or radiologic signs permitting differentiation of AIDS patients and PCNSL from those with cerebral masses of other etiologies. METHODS: Clinical history and cranial computerized tomography (CT) of patients with PCNSL and AIDS from the Hospital Clinic i Provincial in Barcelona were reviewed. Results were compared with those of patients with PCNSL without evidence of immunosuppression and with those with AIDS and cerebral toxoplasmosis or tuberculoma diagnosed during the same period. RESULTS: Of 685 patients with AIDS, 10 were identified with PCNSL. The clinical picture was not different to that observed in patients with AIDS and cerebral toxoplasmosis or tuberculomas. In contrast to PCNSL in non immunodepressed patients, the cerebral CT in patients with PCNSL and AIDS demonstrated hyperdense lesions in only 44% and contrast enhancement was not homogeneous in any case. These characteristics were similar to those observed in the CT of patients with cerebral toxoplasmosis or tuberculoma with the exception that only 8% of the lesions by toxoplasmosis were spontaneously hyperdense. CONCLUSIONS: The clinical-radiological data of primary central nervous system lymphoma in patients with the acquired immunodeficiency syndrome are similar to those observed in other etiologies. However, the presence of a sole spontaneously hyperdense region in cranial computerized tomography is more suggestive of primary central nervous system lymphoma than cerebral toxoplasmosis. SN - 0025-7753 UR - https://www.unboundmedicine.com/medline/citation/1635405/[Primary_cerebral_lymphoma_in_10_patients_with_AIDS__Comparative_clinico_radiologic_study_with_cerebral_toxoplasmosis_cerebral_tuberculoma_and_primary_cerebral_lymphoma_in_non_immunodepressed_patients]_ L2 - http://www.diseaseinfosearch.org/result/279 DB - PRIME DP - Unbound Medicine ER -