Open ring enhancement in atypical brain demyelination

被引：16

作者：

Javalkar, Vijayakumar ^{[1
]}

Manix, Marc ^{[1
]}

Wilson, Jon ^{[2
]}

Nanda, Anil ^{[1
]}

机构：

[1] Louisiana State Univ, Hlth Sci Ctr, Dept Neurosurg, Shreveport, LA 71103 USA

[2] LSUHSC, Dept Neuropathol, Shreveport, LA USA

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2012年 / 19卷 / 06期

关键词：

Imaging features; Open ring enhancement; Tumefactive multiple sclerosis;

D O I：

10.1016/j.jocn.2011.06.037

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Open ring enhancement is considered highly specific for atypical demyelination. In this report we present a patient with a history of headache, ataxia and sensory disturbances in the lower extremities. A cranial MRI scan showed a large frontal lesion with mass effect, midline shift and with open ring enhancement. These findings are characteristics of tumefactive multiple sclerosis. Such lesions can be confused with neoplasms and abscesses. Open ring enhancement may help in differentiating atypical demyelination from a neoplasm or an abscess. (C) 2012 Published by Elsevier Ltd.

引用

页码：910 / 912

页数：3

共 7 条

[1] Distinguishing Tumefactive Demyelinating Lesions from Glioma or Central Nervous System Lymphoma: Added Value of Unenhanced CT Compared with Conventional Contrast-enhanced MR Imaging [J].

Kim, Dae Sik ;

Na, Dong Gyu ;

Kim, Keon Ha ;

Kim, Ji-hoon ;

Kim, Eunhee ;

La Yun, Bo ;

Chang, Kee-Hyun .

RADIOLOGY, 2009, 251 (02) :467-475

[2] Clinical and radiographic spectrum of pathologically confirmed tumefactive multiple sclerosis [J].

Lucchinetti, C. F. ;

Gavrilova, R. H. ;

Metz, I. ;

Parisi, J. E. ;

Scheithauer, B. W. ;

Weigand, S. ;

Thomsen, K. ;

Mandrekar, J. ;

Altintas, A. ;

Erickson, B. J. ;

Koenig, F. ;

Giannini, C. ;

Lassmann, H. ;

Linbo, L. ;

Pittock, S. J. ;

Brueck, W. .

BRAIN, 2008, 131 :1759-1775

[3] Open-ring imaging sign - Highly specific for atypical brain demyelination [J].

Masdeu, JC ;

Quinto, C ;

Olivera, C ;

Tenner, M ;

Leslie, D ;

Visintainer, P .

NEUROLOGY, 2000, 54 (07) :1427-1433

[4] The past, present and future of imaging in multiple sclerosis [J].

Ramli, N. ;

Rahmat, K. ;

Azmi, K. ;

Chong, H. T. .

JOURNAL OF CLINICAL NEUROSCIENCE, 2010, 17 (04) :422-427

[5] A case of pediatric tumefactive demyelinating lesion misdiagnosed and treated as glioblastoma [J].

Riva, Daria ;

Chiapparini, Luisa ;

Pollo, Bianca ;

Balestrini, Maria Rosa ;

Massimino, Maura ;

Milani, Nicoletta .

JOURNAL OF CHILD NEUROLOGY, 2008, 23 (08) :944-947

[6] Patterns of contrast enhancement in the brain and meninges [J].

Smirniotopoulos, James G. ;

Murphy, Frances M. ;

Rushing, Elizabeth J. ;

Rees, John H. ;

Schroeder, Jason W. .

RADIOGRAPHICS, 2007, 27 (02) :525-551

[7] Tumefactive demyelinating lesions: nine cases and a review of the literature [J].

Xia, Lei ;

Lin, Song ;

Wang, Zhong-cheng ;

Li, Shao-wu ;

Xu, Li ;

Wu, Jing ;

Hao, Shu-yu ;

Gao, Chuan-chuan .

NEUROSURGICAL REVIEW, 2009, 32 (02) :171-179

← 1 →