Shih T Y, Wan C L, Chen L
Department of Neurosurgery, Chang-Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C.
J Formos Med Assoc. 1994 Feb;93(2):173-5.
Demyelinating disease may present with clinical and radiological features mimicking brain tumor. A 43-year-old man was admitted because of progressive right hemiparesis, facial weakness and dysarthria. Computed tomographic scans revealed two expansive lesions in the left frontal lobe and midbrain, respectively. A brain tumor or metastatic lesion was suspected. The patient underwent left frontal craniotomy and the surgical biopsy revealed a demyelinating process. The patient, however, had a poor response to steroid treatment and died two months later. The possible nature of demyelinating disease in this case is discussed.
脱髓鞘疾病可能表现出类似于脑肿瘤的临床和影像学特征。一名43岁男性因进行性右侧偏瘫、面部无力和构音障碍入院。计算机断层扫描显示左额叶和中脑分别有两个占位性病变。怀疑是脑肿瘤或转移性病变。患者接受了左额叶开颅手术，手术活检显示为脱髓鞘过程。然而，患者对类固醇治疗反应不佳，两个月后死亡。本文讨论了该病例中脱髓鞘疾病的可能性质。
