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Titolo:
CEREBRAL VENOUS INFARCTIONS PRESENTING AS ENHANCING SPACE-OCCUPYING LESIONS - MRI FINDINGS
Autore:
BAKSHI R; LINDSAY BD; BATES VE; KINKEL PR; MECHTLER LL; KINKEL WR;
Indirizzi:
SUNY BUFFALO,LUCY DENT IMAGING CTR,MILLARD FILLMORE HLTH SYST,DENT NEUROL INST,DEPT NEUROL BUFFALO NY 14209
Titolo Testata:
Journal of neuroimaging
fascicolo: 4, volume: 8, anno: 1998,
pagine: 210 - 215
SICI:
1051-2284(1998)8:4<210:CVIPAE>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
DURAL SINUS THROMBOSIS; VEIN-THROMBOSIS; HEMORRHAGE; BRAIN;
Keywords:
CEREBRAL VENOUS THROMBOSIS; MRI; RING ENHANCEMENT; GADOLINIUM CONTRAST IMAGES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
R. Bakshi et al., "CEREBRAL VENOUS INFARCTIONS PRESENTING AS ENHANCING SPACE-OCCUPYING LESIONS - MRI FINDINGS", Journal of neuroimaging, 8(4), 1998, pp. 210-215

Abstract

Cerebral venous thrombosis is an unusual form of cerebrovascular disease that may cause cerebral venous infarction (CVI). Magnetic resonance imaging (MRI) of the brain may improve the often elusive diagnosis of CVI. However, the sensitivity, specificity, and full spectrum of such MRI findings are poorly understood. The authors present the cases ofthree patients with CVI whose MRI scans showed abnormally enhancing tumor-like brain lesions. Two of the CVIs were hemorrhagic and exerted mass effect. One patient showed increasingly nodular and heterogeneousring-like enhancement progressing from the single-dose to the triple-dose gadolinium contrast images. The CVI of a second patient also showed ring-like enhancement. Biopsy was performed on one of these patients and was strongly considered for the other two patients to exclude neoplastic disease. Careful examination of the MRI appearance of venous structures and the use of specialized MRI techniques improved the recognition of CVI for two patients and prevented biopsy. This represents the first description of abnormal triple-dose MRI contrast enhancementin CVI. Consideration of CVI in the care of patients with enhancing tumor-like masses may lead to earlier diagnosis and treatment, preventing unnecessary invasive diagnostic procedures. CVI should be added to the differential diagnosis of supratentorial ring-enhancing masses.

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Documento generato il 03/07/20 alle ore 22:30:56