Background: There are no reports in the literature so far, showing the coexisting presence of a lymphoma and a cholesteatoma in the skull base. Our sim was to point up the clinical features of a primary malignant left petro-clival lymphoma presenting with a concomitant petrous cholesteatoma. The patient presented a progressive history of dysartrhia and multiple cranial nerve palsies. Both the lesions were documented radiologically and histologically. Discussion and Conclusion: Primary lymphoma of the clivus are rare. The clinical and the radiological features of the lesion have been described as well as the pathologic findings.
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