| Distinct supratentorial lesions mimicking cerebral gliomas. | |
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MedLine Citation:
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PMID: 14740261 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Various supratentorial pathological conditions can mimic neoplastic cerebral lesions clinically as well as radiologically. Analysis of the neuroradiological findings, the clinical history, laboratory and other paraclinical data mostly help to narrow down the diagnosis of cerebral pathologies. Sometimes, however, histopathological analysis of the operative specimen after surgery reveals unexpected findings. PATIENTS AND FINDINGS: In a series of 197 operative procedures performed for glioma surgery between August 2000 and August 2002 we found six distinct cases mimicking supratentorial tumours. Clinicoradiological findings had suggested a neoplastic gliomatous process in all cases. But histopathological examination revealed that in reality one patient had been affected by a stroke, two by hypertensive encephalopathy, and one by radiation necrosis; multiple sclerosis was the underlying pathology in two patients. INTERPRETATION: Conditions which show features similar to those of neoplastic cerebral lesions require advanced magnetic resonance imaging (MRI). The benefit of such sophisticated imaging in relation to the costs is an important issue in this context. Further research in the field of modern image modalities is necessary to evaluate these noninvasive techniques for specification of intracerebral lesions. |
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Authors:
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G Wurm; B Parsaei; R Silye; F A Fellner |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2003-12-09 |
Journal Detail:
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Title: Acta neurochirurgica Volume: 146 ISSN: 0001-6268 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2004-01-23 Completed Date: 2004-10-19 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: Austria |
Other Details:
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Languages: eng Pagination: 19-26; discussion 26 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Landesnervenklinik Linz, Linz, Austria. gabriele.wurm@gespag.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Brain Diseases / diagnosis* Brain Neoplasms / diagnosis*, pathology*, surgery Diagnosis, Differential Female Glioma / diagnosis*, pathology*, surgery Humans Intracranial Hypertension / complications, diagnosis* Male Middle Aged Multiple Sclerosis / complications Necrosis Radiation Injuries / diagnosis Retrospective Studies Stroke / complications, diagnosis* |
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