Open-Ring Enhancement in Pseudotumoral Multiple Sclerosis : Important Radiological Aspect
Joint Authors
Albuquerque, Lucas Alverne Freitas de
Pittella, Jose Eymard Homem
Medeiros, Frederico Carvalho de
Souza, Renata Brant de
Christo, Paulo Pereira
Gomes Neto, Antonio Pereira
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Observation of open-ring enhancement in magnetic resonance imaging (MRI) is considered a specificity marker for diagnosing pseudotumoral multiple sclerosis (MS).
This finding is of great value in the differential diagnosis of tumefactive lesions.
Case Report.
We describe a 55-year-old white woman, with previous history of ovarian cancer and recent history of fatigue and bilateral retroorbital pain.
Important bilateral visual impairment evolved over one month.
Physical examination detected the presence of right homonymous hemianopia.
Cranial MRI showed an expanding lesion with open-ring enhancement.
Given the range of diagnostic possibilities, a stereotactic biopsy was performed, and histopathological examination was consistent with an active demyelinating disease.
The patient was treated with 1 g of methylprednisolone and symptoms improved following a significant reduction in the lesion.
Conclusions.
We highlight the MRI results suggestive of pseudotumoral MS, especially open-ring enhancement, which is an important radiologic aspect to diagnosis and can assist in avoiding unnecessary biopsies.
American Psychological Association (APA)
Medeiros, Frederico Carvalho de& Albuquerque, Lucas Alverne Freitas de& Pittella, Jose Eymard Homem& Souza, Renata Brant de& Gomes Neto, Antonio Pereira& Christo, Paulo Pereira. 2014. Open-Ring Enhancement in Pseudotumoral Multiple Sclerosis : Important Radiological Aspect. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-510876
Modern Language Association (MLA)
Medeiros, Frederico Carvalho de…[et al.]. Open-Ring Enhancement in Pseudotumoral Multiple Sclerosis : Important Radiological Aspect. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-510876
American Medical Association (AMA)
Medeiros, Frederico Carvalho de& Albuquerque, Lucas Alverne Freitas de& Pittella, Jose Eymard Homem& Souza, Renata Brant de& Gomes Neto, Antonio Pereira& Christo, Paulo Pereira. Open-Ring Enhancement in Pseudotumoral Multiple Sclerosis : Important Radiological Aspect. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-510876
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510876