| Large demyelinating brain lesion mimicking a herniating tumor. | |
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MedLine Citation:
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PMID: 11808857 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe the case of a large brain lesion whose computed tomography appearance and clinical evolution mimicked a herniating tumor. The patient progressed to coma within 6 days of hospitalization despite high-dose steroid treatment. Emergency excision of the lesion was carried out. Histological analysis showed massive demyelination, axon preservation and no tumor cells. No lesion recurrence was seen during a 55-month follow-up. Recognition of such lesions through magnetic resonance imaging or spectroscopy may spare unnecessary surgery or biopsy. However, our case shows that such lesions may still require resection in the face of a rapid clinical progression and poor response to medical treatment. |
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Authors:
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B Censori; C Agostinis; T Partziguian; G Gazzaniga; F Biroli; A Mamoli |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology Volume: 22 ISSN: 1590-1874 ISO Abbreviation: Neurol. Sci. Publication Date: 2001 Aug |
Date Detail:
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Created Date: 2002-01-25 Completed Date: 2002-07-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100959175 Medline TA: Neurol Sci Country: Italy |
Other Details:
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Languages: eng Pagination: 325-9 Citation Subset: IM |
Affiliation:
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UO Neurology 2, Ospedali Riuniti, Bergamo, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Brain Neoplasms / pathology*, surgery Diagnosis, Differential Diffuse Cerebral Sclerosis of Schilder / pathology*, surgery Humans Magnetic Resonance Imaging Male Multiple Sclerosis / pathology*, surgery Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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