Valerio Jose, Santiago Rea Noe, Zumaeta Jorge, Graham Benjamin, Mantilla-Farfan Penelope, Sanchez Roberto
Neurological Surgery, Palmetto General Hospital, Hialeah, USA.
Neurosurgery, Miami Neuroscience Center at Larkin, South Miami, USA.
Cureus. 2024 Dec 11;16(12):e75538. doi: 10.7759/cureus.75538. eCollection 2024 Dec.
The corpus callosum can reveal a "butterfly" pattern on imaging in various conditions, including glioblastoma, primary central nervous system lymphoma, tumefactive multiple sclerosis, and toxoplasmosis. Early differentiation among these conditions is crucial to avoid aggressive treatments. In one case, a 70-year-old woman with a history of multiple sclerosis experienced a neurological decline. While imaging suggested a high-grade glioma, a biopsy ultimately confirmed the diagnosis of tumefactive multiple sclerosis. The patient showed improvement with steroid therapy. It is essential to distinguish between high-grade gliomas and tumefactive multiple sclerosis, as gliomas typically present acutely while tumefactive multiple sclerosis progresses more slowly. Utilizing advanced imaging techniques and biopsy aids in achieving an accurate diagnosis, thus preventing unnecessary interventions. Additionally, a multidisciplinary approach is vital for optimal management of these conditions.
胼胝体在多种情况下的影像学检查中可呈现“蝴蝶”样表现，包括胶质母细胞瘤、原发性中枢神经系统淋巴瘤、瘤样多发性硬化和弓形虫病。在这些情况之间进行早期鉴别对于避免过度治疗至关重要。在一个病例中，一名有多发性硬化病史的70岁女性出现神经功能衰退。虽然影像学检查提示为高级别胶质瘤，但活检最终确诊为瘤样多发性硬化。该患者接受类固醇治疗后病情有所改善。区分高级别胶质瘤和瘤样多发性硬化至关重要，因为胶质瘤通常急性起病，而瘤样多发性硬化进展较为缓慢。利用先进的影像学技术和活检有助于实现准确诊断，从而避免不必要的干预。此外，多学科方法对于这些疾病的最佳管理至关重要。
