| Cerebral infarct mimicking glioma in Sjogren's syndrome. | |
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MedLine Citation:
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PMID: 12167735 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 50-year-old Chinese woman with a chronic 20-year history of ataxic gait associated with dry eyes and mouth, was admitted to hospital after a single episode of syncope. Magnetic resonance imaging scans showed a large left frontal hypodense lesion suggestive of a glioma. Craniotomy was performed and the lesion excised, with histology showing only infarcted tissue and no malignant cells. Further diagnostic evaluation revealed that the patient had primary Sjogren's syndrome, with demyelinating polyneuropathy. In the absence of risk factors for stroke, it was considered likely that the cerebral infarct was secondary to autoimmune-related vasculitis. Functional neuroimaging, such as magnetic resonance spectroscopy, should be considered in evaluating doubtful or unusual brain lesions in patients with autoimmune disease. |
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Authors:
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M S Koh; K Y C Goh; C Chen; H S Howe |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine Volume: 8 ISSN: 1024-2708 ISO Abbreviation: Hong Kong Med J Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2002-08-08 Completed Date: 2002-11-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9512509 Medline TA: Hong Kong Med J Country: China |
Other Details:
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Languages: eng Pagination: 292-4 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Singapore General Hospital, Outram Road, Singapore. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain
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pathology Brain Neoplasms / diagnosis* Cerebral Infarction / diagnosis*, pathology Craniotomy Diagnosis, Differential Female Glioma / diagnosis* Humans Magnetic Resonance Imaging Middle Aged Sjogren's Syndrome / pathology* |
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