Hyman R A, Blankfein R J, Pitman E R, Naidich J B, McGeachie R E
Comput Tomogr. 1979;3(2):93-6. doi: 10.1016/0363-8235(79)90003-6.
A patient with two periventricular enhancing lesions on computed tomography subsequently demonstrated clearing of these abnormalities without treatment and a clinical course compatible with multiple sclerosis. CT scans obtained in disease processes associated with acute demyelination and alteration of the blood-brain barrier can show enhancing lesions. These lesions can initially be confused with primary or secondary neoplasms, enhancing infarcts or arteriovenous malformation. The differential diagnosis of enhancing lesions without significant mass effect should initially include the acute phase of multiple sclerosis and other demyelinating processes.
一名计算机断层扫描显示有两个脑室周围强化病灶的患者，随后未经治疗这些异常就消失了，其临床病程符合多发性硬化症。在与急性脱髓鞘和血脑屏障改变相关的疾病过程中进行的CT扫描可显示强化病灶。这些病灶最初可能与原发性或继发性肿瘤、强化性梗死或动静脉畸形相混淆。无明显占位效应的强化病灶的鉴别诊断最初应包括多发性硬化症的急性期和其他脱髓鞘过程。
