Khadjooi K, Esposito G, Dimopoulos C
Department of Neurosciences, University Hospitals Coventry & Warwickshire, Coventry, UK.
J R Coll Physicians Edinb. 2011 Sep;41(3):218-20. doi: 10.4997/JRCPE.2011.307.
Multiple sclerosis (MS) is the most common inflammatory demyelinating disease, affecting approximately one million adults worldwide. This paper describes a young female patient who presented to the acute medical team with generalised tonic-clonic seizures and right hemiplegia on a background of MS. Radiological imaging revealed a large ring enhancing lesion exerting mass effect. We describe an unusual form of MS and discuss diagnostic pitfalls of tumefactive demyelinating lesions which can be mistaken for brain tumours and abscesses.
多发性硬化症（MS）是最常见的炎性脱髓鞘疾病，全球约有100万成年人受其影响。本文描述了一名年轻女性患者，她因多发性硬化症出现全身性强直阵挛发作和右侧偏瘫，前来急诊医疗团队就诊。放射影像学检查发现一个大的环形强化病灶，有占位效应。我们描述了一种不寻常的多发性硬化症形式，并讨论了可被误诊为脑肿瘤和脓肿的肿胀性脱髓鞘病变的诊断陷阱。
