Intracranial multiple myeloma may imitate subdural hemorrhage: How to overcome diagnostic limitations and avoid errors in treatment
Autor: | Anna Prajsnar-Borak, Stephan Boor, Martin Glaser, Harald von Pein, Axel Stadie, Naci Balak |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Hematoma Parietal Lobe medicine Meningeal Neoplasms Humans Multiple myeloma business.industry Brain Neoplasms Subdural hemorrhage Intuitive thinking Middle Aged medicine.disease Subdural Hematomas Surgery Frontal Lobe Hematoma Subdural 030220 oncology & carcinogenesis Radiological weapon Treatment strategy Female Neurology (clinical) Radiology Differential diagnosis business Multiple Myeloma Tomography X-Ray Computed 030217 neurology & neurosurgery |
Zdroj: | Neurologia i neurochirurgia polska. 51(3) |
ISSN: | 0028-3843 |
Popis: | Background Although the diagnosis of subdural hematoma is usually straightforward, occasionally it may be erroneous, leading to mistakes in the treatment. For example, leptomeningeal malignancies, even in the absence of bleeding, may clinically and radiologically mimic subdural hemorrhage. Objective To stress the importance of not only intuitive thinking but also in analytic thinking in appropriate and accurate treatment strategies. Methods and Illustrative case In this report, the clinical and radiological pitfalls in differentiating malignant leptomeningeal infiltration and subdural hematomas are discussed. A sample case of an intracranial extra-osseous manifestation of a multiple myeloma that is atypical with regard to its location and clinical presentation is presented for illustration. Conclusions The variability of intracranial presentation and the wide spectrum of leptomeningeal malignancies necessitate careful preoperative evaluation of the patient's individual history as well as radiological images to avoid misdiagnosis. A clinician who has become familiar with the pitfalls in the differential diagnosis between leptomeningeal infiltrations and subdural hematoma will act more analytically to solve the patient's problems properly and avoid potential complications for the patient. |
Databáze: | OpenAIRE |
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