Kocaeli Med J. 2017; 6(3): 88-91

Primer Central Nervous System Lymphoma Presenting With Psychiatric Signs (A Case Report)

Gülhan Sarýçam¹, Ebru Bilge Dirik², Hatice Ferhan Kömürcü², Ömer Anlar^2
1Ulus State Hospital
²Ankara Atatürk Education Research Hospital

Primer central nervous system lymphoma (PCNSL) constitutes of less than 5% of non-Hodgkin’s lymphoma (NHL) and the great majority is B-cell lymhomas. Patients may be came up with increased intracranial pressure, focal neurological signs, neuropsychiatric symptoms or eye symptoms in clinic. Central nervous system gliomas, metastatic tumors, demyelinating disorders, subacute infarcts and space-occupying lesions are among the differential diagnostics of PSSL. In this report, a patient who was admitted to emergency department with psychiatric findings and stroke-like findings, but after advanced examination and research who has got PSSL diagnosis, was presented. PSSL may be confronted with various clinical tables. It should be taken into account in the etiological evaluation of atypical psychiatric symptoms and strokes.

Keywords: Primary central nervous system lymphoma, Non-Hodgkin Lymphoma, B-cell Lymphoma

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Psikiyatrik Belirtilerle Ortaya Çýkan Bir Primer Santral Sinir Sistemi Lenfomasý (Olgu Sunumu)

Gülhan Sarýçam¹, Ebru Bilge Dirik², Hatice Ferhan Kömürcü², Ömer Anlar^2
1Ulus Devlet Hastanesi
²Ankara Atataürk Eðitim Araþtýrma Hastanesi

Primer Santral Sinir Sistemi Lenfomasý (PSSSL), Non Hodgkin Lenfoma (NHL)’ larýn %5’ den azýný oluþturur ve büyük çoðunluðu B-hücreli lenfomalardýr. Hastalar klinikte kafa içi basýnç artýþý, fokal nörolojik bulgular, nöropsikiyatrik semptomlar veya göz bulgularý ile karþýmýza gelebilir. PSSSL ayýrýcý tanýsýnda santral sinir sistemi gliomlarý, metastatik tümörler, demiyelinizan bozukluklar, subakut enfarkt ve yer kaplayan lezyonlar yer alýr. Bu raporda acil servise psikiyatrik bulgular ve inme benzeri bulgularla baþvuran fakat yapýlan ileri tetkik ve araþtýrmalar sonucu PSSSL tanýsý alan bir hasta sunuldu. PSSSL çeþitli klinik tablolarla karþýmýza çýkabilir. Ýnmelerin ve atipik psikiyatrik belirtilerin etyolojik deðerlendirilmesinde göz önünde bulundurulmaldýr.

Anahtar Kelimeler: Primer Santral Sinir Sistemi Lenfomasý, Non Hodgkin Lenfoma, B-hücreli lenfoma

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