Kalyan-Raman U P, Garwacki D J, Elwood P W
Department of Pathology, University of Illinois College of Medicine at Peoria, Illinois.
Neurosurgery. 1987 Aug;21(2):247-50. doi: 10.1227/00006123-198708000-00024.
Magnetic resonance imaging (MRI) has improved the diagnosis of several pathological entities of the brain. MRI especially has been credited with distinguishing demyelinating diseases of the central nervous system from other diseases. The presence of a mass effect in a demyelinating disorder, however, makes difficult the distinction between tumor and a demyelinating disease. We report a case of a demyelinating disorder simulating an infiltrating glioma of the corpus callosum on MRI scan, resulting in surgical intervention. To our knowledge, this is the first case to be reported with MRI and documented pathological findings.
磁共振成像（MRI）改善了对脑部多种病理实体的诊断。MRI尤其有助于将中枢神经系统的脱髓鞘疾病与其他疾病区分开来。然而，脱髓鞘疾病中出现的占位效应使得区分肿瘤和脱髓鞘疾病变得困难。我们报告一例在MRI扫描中表现为胼胝体浸润性胶质瘤的脱髓鞘疾病病例，该病例导致了手术干预。据我们所知，这是首例有MRI及病理记录结果报道的病例。
