18F-FDG PET/CT in Tumefactive Multiple Sclerosis

被引:15
作者
Maffione, Anna Margherita [1 ]
Rampin, Lucia [1 ]
Grassetto, Gaia [1 ]
L'Erario, Roberto [2 ]
Colletti, Patrick M. [3 ]
Rubello, Domenico [1 ]
机构
[1] Santa Maria Misericordia Hosp, Dept Nucl Med, PET Unit, I-45100 Rovigo, Italy
[2] Santa Maria Misericordia Hosp, Dept Neurol, I-45100 Rovigo, Italy
[3] Univ So Calif, Dept Radiol, Los Angeles, CA USA
关键词
PET; multiple sclerosis; MRI; FDG; active plaque; LESIONS;
D O I
10.1097/RLU.0000000000000427
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A 35-year-old man underwent contrast-enhanced MRI and F-18-FDG PET/CT for acute peripheral paresthesia, vision loss, muscle weakness, and difficulty walking. T2-weighted MRI demonstrated multiple bright periventricular supratentorial and infratentorial white matter lesions, including 2 with nodularity. Both nodular lesions showed moderate focal FDG uptake (SUVmax, 6.9 in both cases). Cerebrospinal fluid analysis showed increased levels of immunocytes and oligoclonal antibody bands. A diagnosis of acute onset tumefactive multiple sclerosis was made.
引用
收藏
页码:750 / 751
页数:2
相关论文
共 8 条
[1]   PATHOLOGY, HISTOCHEMISTRY AND IMMUNOCYTOCHEMISTRY OF LESIONS IN ACUTE MULTIPLE-SCLEROSIS [J].
ADAMS, CWM ;
POSTON, RN ;
BUK, SJ .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1989, 92 (2-3) :291-306
[2]   Clinical and radiological characteristics of tumefactive demyelinating lesions: follow-up study [J].
Altintas, A. ;
Petek, B. ;
Isik, N. ;
Terzi, M. ;
Bolukbasi, F. ;
Tavsanli, M. ;
Saip, S. ;
Boz, C. ;
Aydin, T. ;
Arici-Duz, O. ;
Ozer, F. ;
Siva, A. .
MULTIPLE SCLEROSIS JOURNAL, 2012, 18 (10) :1448-1453
[3]   High-resolution fluorodeoxyglucose positron emission tomography shows both global and regional cerebral hypometabolism in multiple sclerosis [J].
Bakshi, R ;
Miletich, RS ;
Kinkel, PR ;
Emmet, ML ;
Kinkel, WR .
JOURNAL OF NEUROIMAGING, 1998, 8 (04) :228-234
[4]  
Chen W, 2006, J NUCL MED, V47, P904
[5]   The application of multifactorial cluster analysis in the staging of plaques in early multiple sclerosis - Identification and characterization of the primary demyelinating lesion [J].
Gay, FW ;
Drye, TJ ;
Dick, GWA ;
Esiri, MM .
BRAIN, 1997, 120 :1461-1483
[6]   Positron emission tomography imaging in multiple sclerosis-current status and future applications [J].
Kiferle, L. ;
Politis, M. ;
Muraro, P. A. ;
Piccini, P. .
EUROPEAN JOURNAL OF NEUROLOGY, 2011, 18 (02) :226-231
[7]  
Lakhanpal SK, 1999, MAGNETIC RESONANCE I
[8]  
Niccolini F, 2014, CLIN NUCL MED