Villarejo F J, Pascual A, Carceller F, Bencosme J A, Pérez Díaz C, Goyenechea F
La Luz Clinic, General Rodrigo 8, 28003, Madrid, Spain.
Childs Nerv Syst. 2004 Mar;20(3):195-8. doi: 10.1007/s00381-003-0843-9. Epub 2004 Jan 29.
A case of accumulation of CSF into the brain parenchyma simulating a brain tumor, secondary to an obstructed ventriculoperitoneal shunt, is presented. Until now, only seven cases of this rare complication have been described.
Magnetic resonance showed an expansive, low-density intracranial lesion on the right frontal and parietal lobe. This mass was biopsied, but no tumor was found and the diagnosis was brain edema.
The mistake in the diagnosis was due to the clinical symptoms and to the MR images.
本文报道了一例因脑室腹腔分流术阻塞继发脑脊液积聚于脑实质内,酷似脑肿瘤的病例。迄今为止,仅报道过7例这种罕见的并发症。
磁共振成像显示右侧额叶和顶叶有一个膨胀性低密度颅内病变。对该肿块进行了活检,但未发现肿瘤,诊断为脑水肿。
诊断错误是由于临床症状和磁共振图像所致。