Paley R J, Persing J A, Doctor A, Westwater J J, Roberson J P, Edlich R F
University of Virginia School of Medicine, Charlottesville 22908.
J Emerg Med. 1989 May-Jun;7(3):241-4. doi: 10.1016/0736-4679(89)90353-3.
Multiple sclerosis may present as a lesion indistinguishable clinically and radiologically from brain tumor. A case of multiple sclerosis is reported with clinical and radiologic features of a brain tumor. A brain biopsy was later undertaken that provided pathological confirmation of the diagnosis of this demyelinating disease. This case report in conjunction with those in the literature indicate that conservative treatment with steroid therapy and serial computed tomography should establish the diagnosis of multiple sclerosis without the need for surgical intervention.
多发性硬化症可能表现为在临床和放射学上与脑肿瘤难以区分的病变。本文报告一例具有脑肿瘤临床和放射学特征的多发性硬化症病例。随后进行了脑活检，病理证实了这种脱髓鞘疾病的诊断。结合文献中的病例报告表明，采用类固醇疗法和连续计算机断层扫描进行保守治疗应能确诊多发性硬化症，而无需进行手术干预。
