酷似多灶性脊髓炎的脊髓星形细胞瘤
Spinal cord astrocytoma mimicking multifocal myelitis.
作者信息
Neutel Dulce, Teodoro Tiago, Coelho Miguel, Pimentel José, Albuquerque Luísa
出版信息
J Spinal Cord Med. 2014 Jul;37(4):429-31. doi: 10.1179/2045772313Y.0000000187. Epub 2014 Jan 21.
INTRODUCTION
Differential diagnosis of acute/subacute intrinsic spinal cord lesions can be challenging. In addition, intramedullary neoplasms typically show gadolinium enhancement, mass effect, and cord expansion.
CASE REPORT
We report a patient with spinal cord and brain stem lesions resembling multifocal myelitis. Magnetic resonance imaging showed no spinal cord enlargement or gadolinium enhancing. Treatment of myelitis was undertaken without stopping the progression of the disease. Biopsy was made and led to a histological diagnosis of astrocytoma.
DISCUSSION
Astrocytoma must remain as a possible diagnosis of spinal cord lesions, even without typical characteristics of neoplasms. Furthermore, biopsy should always be considered when diagnosis is uncertain.
引言
急性/亚急性脊髓原发性病变的鉴别诊断可能具有挑战性。此外，髓内肿瘤通常表现为钆增强、占位效应和脊髓扩张。
病例报告
我们报告了一名患有类似多灶性脊髓炎的脊髓和脑干病变患者。磁共振成像显示脊髓无增粗或钆增强。在未阻止疾病进展的情况下对脊髓炎进行了治疗。进行了活检，组织学诊断为星形细胞瘤。
讨论
即使没有肿瘤的典型特征，星形细胞瘤也必须作为脊髓病变的一种可能诊断。此外，当诊断不确定时应始终考虑进行活检。
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