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Abstract
Intracranial plasmacytomas are infrequently encountered in neurosurgical practice, and the literature consists predominantly of isolated case reports. We present the first English medical literature case of intracranial epidural plasmacytoma with no calvarial lytic changes masquerading as an extradural hematoma in a 60 year-old-man. In addition, we discuss the pathogenesis of this unusual tumor location with brief review of the relevant literature concerning its treatment and outcome.
Highlights
A 60-year-old right-handed man presented to our emergencies immediately after a mildly severe head trauma with quick loose of consciousness
Intracranial plasmacytomas are infrequently encountered in neurosurgical practice, and the literature consists predominantly of isolated case reports
We present the first English medical literature case of intracranial epidural plasmacytoma with no calvarial lytic changes masquerading as an extradural hematoma in a 60 year-old-man
Summary
A 60-year-old right-handed man presented to our emergencies immediately after a mildly severe head trauma with quick loose of consciousness. His medical history was significant for a light chain multiple myeloma diagnosed one year ago for which he underwent chemotherapy with total remission. Imaging features were strongly suggestive of an epidural hematoma. This situation is quite rare in the elderly, the patient underwent an emergency craniotomy with the preoperative diagnosis of an epidural hematoma. The tumor invaded partially the bone of origin which was scarified and the definitive histological diagnosis was a skull plasmacytoma (Figure 3).
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