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Silent Tumefactive Demyelinating Lesions and Radiologically Isolated Syndrome
Joint Authors
Source
Case Reports in Neurological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-28
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Demyelinating lesions larger than 2 cm in diameter, with or without edema, are known as tumefactive demyelinating lesions (TDLs).
They constitute a rare inflammatory demyelinating disorder of the central nervous system.
TDLs are typically characterized by headaches, cortical symptoms such as aphasia, hemiparesis, hemisensory deficits, seizures, and changes in consciousness.
TDLs may occur in patients with or without an established diagnosis of MS or may occur as the initial demyelinating event.
They may also be observed during follow-up in patients with MS, neuromyelitis optica, acute disseminated encephalomyelitis, or other autoimmune diseases.
Differential diagnosis includes brain tumors, abscess, granulomatous diseases, and vasculitis.
In some cases, it may be very difficult to distinguish TDLs from a tumor, such that biopsy might be needed.
However, no cases of asymptomatic TDLs have yet been reported in the literature.
Hence, in this report, we present a case involving an asymptomatic TDL detected incidentally during magnetic resonance imaging in an 18-year-old man.
The patient did not develop any symptoms during the 1-year follow-up period.
During follow-up, the patient was diagnosed with a radiologically isolated syndrome.
TDLs have not previously been identified as radiologically isolated syndrome.
Thus, reporting similar cases in the future will help in further understanding this phenomenon.
American Psychological Association (APA)
Ekmekçi, Özgül& Eraslan, Cenk. 2018. Silent Tumefactive Demyelinating Lesions and Radiologically Isolated Syndrome. Case Reports in Neurological Medicine،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145484
Modern Language Association (MLA)
Ekmekçi, Özgül& Eraslan, Cenk. Silent Tumefactive Demyelinating Lesions and Radiologically Isolated Syndrome. Case Reports in Neurological Medicine No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1145484
American Medical Association (AMA)
Ekmekçi, Özgül& Eraslan, Cenk. Silent Tumefactive Demyelinating Lesions and Radiologically Isolated Syndrome. Case Reports in Neurological Medicine. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145484
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145484