Tumefactive multiple sclerosis: an uncommon diagnostic challenge.
Kaeser Martha A MA, Scali Frank F, Lanzisera Frank P FP, Bub Glenn A GA, Kettner Norman W NW
Source:Journal of chiropractic medicine (J Chiropr Med), volume 10, issue 1, 2011, ISSN: 1556-3715
Publication Country:United States
Publication Type:Journal Article
CLINICAL FEATURES: A 30-year-old woman presented to a chiropractic teaching clinic with a complaint of a sudden right foot drop. Magnetic resonance imaging of the brain revealed a large mass in the left parietal lobe with additional white matter lesions. The mass and smaller lesions were consistent with a rare presentation of demyelinating disease, tumefactive MS.
CONCLUSION: Tumefactive MS may mimic the clinical and magnetic resonance imaging characteristics of glioma or a cerebral abscess. The clinical presentation, pathophysiology, differential diagnosis, role of diagnostic imaging, and treatment options of MS are described. This case report illustrates that the timely diagnosis and optimal treatment of MS require recognition of its varied, sometimes atypical, and often nonspecific clinical and imaging manifestations.
Copyright © 2011 National University of Health Sciences. Published by Elsevier Inc. All rights reserved. Source: https://www.ncbi.nlm.nih.gov/pubmed/22027206