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February 1967

Solitary Intracranial Plasmacytoma

Author Affiliations

New Orleans; Lexington, Ky
From the departments of pathology and neurology and psychiatry, Louisiana State University School of Medicine, and the Charity Hospital of Louisiana, New Orleans (Dr. Moossy) and the Division of Neurosurgery, Department of Surgery, University of Kentucky School of Medicine, Lexington (Dr. Wilson). Dr. Moossy is presently with the Department of Pathology, University of Pittsburgh, Pittsburgh.

Arch Neurol. 1967;16(2):212-216. doi:10.1001/archneur.1967.00470200100009

SOLITARY intracranial plasmacytoma is uncommon. For this reason and because it may respond favorably to surgery and radiation therapy, the following case was considered of special interest.

Report of Case First Admission (Nov 17, 1961).—  A 44-year-old woman was admitted to the Psychiatry Service at the Charity Hospital of New Orleans. The admitting psychiatric diagnosis was reactive depression, but after consultation she was transferred to the neurosurgical service. Her sister said that the patient had had headaches, memory loss, and progressive mental depression since February 1961. The patient attributed the headaches to a blow delivered by a falling board which had struck her forehead at the hairline. She was stunned but did not lose consciousness. The blow produced a lump at the site of injury which had decreased in size, but was still present at the time of admission. The first of five seizures occurred one month before admission.

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