Nahser H C, Vieregge P, Nau H E, Reinhardt V
Surg Neurol. 1986 Jul;26(1):45-51. doi: 10.1016/0090-3019(86)90062-5.
The clinical course and computed tomographic findings in two patients suffering from multiple sclerosis and coincidental gliomatous brain tumor are presented. Both diagnoses were proven by surgical biopsy; autopsy findings of one case are reported as well. Our results demonstrate that a differentiation of both diseases is not possible by computed tomography or by clinical data alone. Surgical biopsy to establish the diagnosis is indicated during the course of suspected multiple sclerosis when computed tomographic alterations and clinical signs of a space-occupying lesion last for some weeks.
本文报告了两名患有多发性硬化症并伴有巧合性脑胶质瘤的患者的临床病程及计算机断层扫描结果。两种诊断均经手术活检证实；还报告了其中一例的尸检结果。我们的结果表明，仅通过计算机断层扫描或临床数据无法区分这两种疾病。当计算机断层扫描改变及占位性病变的临床体征持续数周时，在疑似多发性硬化症的病程中，需进行手术活检以明确诊断。
