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Study design:

Case report.

Objectives:

Primary intramedullary spinal cord lymphoma is a rare entity. Studies have shown that there is a recent increase in the number of patients regardless of the status of the immunity. High index of suspicion should be kept in all patients with intramedullary tumors. Multidisciplinary approach at the earliest is required for best outcomes.

Setting:

Department of Neurosurgery, Medical Oncology, Pathology and Radiation oncology. Nizam’s Institute of Medical Sciences, Hyderabad, India.

Methods:

We describe the case of an 11-year-old boy who presented with paraparesis and sensory loss below T10 level. On imaging, the dorsal spine showed intramedullary lesion mimicking an astrocytoma.

Results:

Surgical decompression of the tumor was done and histopathology showed non-Hodgkin’s lymphoma, diffuse large B-cell type. There were no findings suggestive of congenital or acquired …