Skip to main content
Log in

A rare case of vomiting: fourth ventricular B-cell lymphoma

  • Case report
  • Published:
Journal of Neuro-Oncology Aims and scope Submit manuscript

Abstract

We document the case of a 69-year-old man presenting with 6 weeks of intractable vomiting. Magnetic Resonance Imaging showed a homogenously enhancing mass in the caudal fourth ventricle. Surgical exploration and biopsy was performed and pathological examination demonstrated a high-grade B-cell lymphoma. The lesion was a primary tumour in an immuno-competent patient. Despite the increasing incidence of primary central nervous system lymphomas this is believed to be only the third ever case to have occurred at this rare site. We suggest that primary B-cell lymphoma should be considered with homogenous lesions of the fourth ventricle.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Central Brain Tumour Registry of United States (2007) Statistical report: primary brain tumours in the United States 2000–2004 (Years of data collected). Available via: http://www.cbtrus.org/reports/reports.html

  2. Werneck LC, Hatschbach Z, Mora AH, Novarak EM (1977) Meningite por linfoma primitivo do sistema nervoso central. Relato de um case. Arq Neuropsiquiatr 35:366–372

    PubMed  CAS  Google Scholar 

  3. Haegelen C, Riffaud L, Bernard M, Morandi X (2001) Primary isolated lymphoma of the fourth ventricle: case report. J Neurooncol 51:129–131. doi:10.1023/A:1010790325692

    Article  PubMed  CAS  Google Scholar 

  4. Hochberg FH, Baehring JM, Hochberg EP (2007) Primary CNS lymphoma. Nat Clin Pract Neurol 3:24–35. doi:10.1038/ncpneuro0395

    Article  PubMed  CAS  Google Scholar 

  5. Batchelor T, Carson K, O’Neill A, Grossman SA, Alavi J, New P, Hochberg F, Priet R (2003) Treatment of primary CNS lymphoma with methotrexate and deferred radiotherapy: a report of NABTT 96–07. J Clin Oncol 21:1044–1049. doi:10.1200/JCO.2003.03.036

    Article  PubMed  CAS  Google Scholar 

  6. Pirotte B, Levivier M, Goldman S, Brucher JM, Brotchi J, Hildebrand J (1997) Glucocorticoid-induced longterm remission in primary cerebral lymphoma: case report and review of the literature. J Neurooncol 32:63–69. doi:10.1023/A:1005733416571

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C. S. Hill.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hill, C.S., Khan, A.F., Bloom, S. et al. A rare case of vomiting: fourth ventricular B-cell lymphoma. J Neurooncol 93, 261–262 (2009). https://doi.org/10.1007/s11060-008-9765-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11060-008-9765-4

Keywords

Navigation