Department of Neurology, University of Arkansas for Medical Sciences, USA.
Acta Neurol Belg. 2010 Jun;110(2):206-8.
Demyelinating lesions of the brain have been frequently reported to mimic tumors, whereas very few cases of tumefactive demyelination of the spine have been reported. We report a patient with tumefactive demyelination of the spinal cord who was clinically, by MRI, and by frozen section diagnosed with tumor and had complete surgical resection. Hence patients with spinal cord lesions suspicious of tumor should be biopsied before complete surgical resection to rule out demyelination.
脑内脱髓鞘病变常被误诊为肿瘤,而脊柱肿块样脱髓鞘病变则很少见。我们报告一例脊髓肿块样脱髓鞘病变患者,术前临床、MRI 和冷冻切片均诊断为肿瘤,并进行了完全手术切除。因此,对于疑似肿瘤的脊髓病变患者,在进行完全手术切除之前应进行活检以排除脱髓鞘病变。