Perfusion and spectroscopy magnetic resonance imaging in a case of lymphocytic vasculitis mimicking brain tumor
| Autor: | Ferdinando Caranci, Gennaro Esposito, Arturo Di Blasi, Luca Brunese, Carmine Franco Muccio, Felice D'Arco |
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| Přispěvatelé: | Muccio, Cf, Di Blasi, A, Esposito, G, Brunese, Luca, D'Arco, F, Caranci, Ferdinando, C. F., Muccio, A., Di Blasi, G., Esposito, L., Brunese, F., D'Arco |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
In vivo magnetic resonance spectroscopy
medicine.medical_specialty magnetic resonance imaging (MRI) Central nervous system Brain tumor Case Report Neuroimaging medicine diffusion weighted imaging proton magnetic resonance spectroscopy (1H MRS) primary angiitis of central nervous system (PACNS) brain tumor diagnostics proton magnetic resonance spectroscopy (¹H MRS) diffusion weighted imaging perfusion weighted imaging magnetic resonance imaging (MRI) medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease perfusion weighted imaging medicine.anatomical_structure primary angiitis of central nervous system (PACNS) brain tumor diagnostics proton magnetic resonance spectroscopy (¹H MRS) brain tumor diagnostic Radiology Differential diagnosis business Perfusion Diffusion MRI |
| Zdroj: | Polish Journal of Radiology |
| Popis: | Summary Background: Lymphocytic vasculitis of the central nervous system is an uncommon subtype of primary angiitis of the central nervous system (PACNS) – a rare inflammatory disorder affecting parenchymal and leptomeningeal arteries and veins. Case Report: Establishing diagnosis on the basis of neuroimaging only is difficult, as it can mimic a brain tumor. Thus, histological diagnosis is essential for appropriate management. We present a case of biopsy-proven lymphocytic vasculitis mimicking a brain tumor on neuroimaging that was subsequently successfully treated with steroid therapy. We also discuss the findings in perfusion MR (PWI) and MR spectroscopy (MRS). Conclusions: Regional hypoperfusion on PWI and elevation of glutamate and glutamine levels on MRS (without associated typical tumor spectra) are common findings in inflammatory disorders, including PACNS, and can be useful in differential diagnosis with tumors. |
| Databáze: | OpenAIRE |
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