Tumefactive demyelinating lesion: Experience with two unusual patients
نویسندگان
چکیده
منابع مشابه
Tumefactive demyelinating lesion.
A previously healthy 31-year-old woman presented with a 2-week history of progressive left hemiparesis. MRI (figure) demonstrated a 3 cm enhancing mass in the right posterior frontal white matter with several smaller lesions in the white matter of the contralateral hemisphere and brainstem (figure, D). A stereotactic biopsy of the large lesion was performed to establish the diagnosis. This show...
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Schilder’s disease is a rare sporadic demyelinating disease of the brain. We report a girl with Schilder’s disease who had undergone Kasai operation for biliary atresia. The patient presented with acute right hemiparesis. Brain magnetic resonance imaging (MRI) showed a single large tumefactive white matter lesion. A diagnosis of Schilder’s disease was based on clinical features and MRI findings...
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Tumefactive demyelinating lesions (TDLs) are atypical presentations of various demyelinating diseases. They can mimic brain tumors in their clinical and radiological features and usually respond favorably to corticosteroid therapy. We report a case of a 17-year-old girl with a single TDL suddenly increasing in size even under steroid therapy. She underwent very strict follow-up examinations wit...
متن کاملProton MR spectroscopy of tumefactive demyelinating lesions.
BACKGROUND AND PURPOSE Tumefactive demyelinating lesions (TDLs) can simulate intracranial neoplasms in clinical presentation and MR imaging appearance, and surgical biopsy is often performed in suspected tumors. Proton MR spectroscopy has been applied in assessing various intracranial diseases and is increasingly used in diagnosis and clinical management. Our purpose was to determine if multivo...
متن کاملPitfalls in the diagnosis of a tumefactive demyelinating lesion: A case report
INTRODUCTION In rare instances, demyelinating disorders manifest as tumefactive lesions that simulate brain tumors. We report a patient with a space-occupying lesion in the parietal lobe, which presented a serious diagnostic dilemma, between a rare tumefactive demyelinating disease, such as Balo concentric sclerosis and a glioma. This case report highlights important diagnostic clues in the dif...
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ژورنال
عنوان ژورنال: Journal of Postgraduate Medicine
سال: 2010
ISSN: 0022-3859
DOI: 10.4103/0022-3859.65292