Cases Journal


Open Access Case Report

Primary plasmacytoma of the cranial vault: a case report

Anrdeas Zigouris1, Dimitrios Drosos1, George A Alexiou1*, George Fotakopoulos1, Evaggelos Mihos1, Dimitrios Pahatouridis1, Spyridon Tsiouris2, Andreas D Fotopoulos2 and Spyridon Voulgaris1

Author Affiliations

1 Department of Neurosurgery, University Hospital of Ioannina, St Niarhou, Ioannina, 45500, Greece

2 Department of Nuclear Medicine, University Hospital of Ioannina, St Niarhou, Ioannina, 45500, Greece

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Cases Journal 2009, 2:9154 doi:10.1186/1757-1626-2-9154

Published: 7 December 2009

Abstract

We report one case of a 78-year-old woman who referred to our hospital because of a progressive right hemiparesis. On clinical examination a painless large soft mass in the left parietal region was observed. CT and MRI revealed an extra-axial mass in the in the left fronto-temporo-parietal region. The lesion was totally excised despite the bleeding tendency. Histology disclosed the presence of a plasmacytoma. Postoperative, the patient developed an epidural hematoma that required immediate evacuation. On further investigation active tuberculosis was detected. On follow up examination 1 year later no tumor recurrence or evidence of multiple myeloma was detected.