Castaño León, Ana María Hernández Laín, Aurelio Lagares Gómez-Abascal, Alfonso Martinez Perez, Rafael Martín Munárriz, Pablo Ramos González, Ana
Tumefactive multiple sclerosis requiring emergency craniotomy: Case report and literature review. [artículo] - Neurocirugía, 2013 - 24(5):220-4.
Formato Vancouver:
Munarriz PM, Castaño-León AM, Martínez-Pérez R, Hernández-Laín A, Ramos A, Lagares A. Tumefactive multiple sclerosis requiring emergency craniotomy: case report and literature review. Neurocirugia (Astur). 2013 Sep-Oct;24(5):220-4.
PMID: 23582489
Contiene 15 referencias
Multiple sclerosis (MS) is a demyelinating disease of the central nervous system, characterized by focal neurological dysfunction with a relapsing and remitting course. Tumor-like presentation of MS (or "tumefactive"/"pseudotumoral" presentation) has been described before with a certain frequency; it consists of a large single plaque (>2 cm) with presence of edema and mass effect and it is hard to distinguish from a brain tumor. However, we present a very rare case of a 53-year-old woman with a right temporal mass that turned out to be a MS plaque, who deteriorated within hours (brain herniation with loss of consciousness and unilateral mydriasis) and required an emergency craniotomy. We also present a review of the literature. It appears that only 4 cases of emergency craniotomy/craniectomy required in a patient with a tumor-like MS plaque have been reported before.
Tumefactive multiple sclerosis requiring emergency craniotomy: Case report and literature review. [artículo] - Neurocirugía, 2013 - 24(5):220-4.
Formato Vancouver:
Munarriz PM, Castaño-León AM, Martínez-Pérez R, Hernández-Laín A, Ramos A, Lagares A. Tumefactive multiple sclerosis requiring emergency craniotomy: case report and literature review. Neurocirugia (Astur). 2013 Sep-Oct;24(5):220-4.
PMID: 23582489
Contiene 15 referencias
Multiple sclerosis (MS) is a demyelinating disease of the central nervous system, characterized by focal neurological dysfunction with a relapsing and remitting course. Tumor-like presentation of MS (or "tumefactive"/"pseudotumoral" presentation) has been described before with a certain frequency; it consists of a large single plaque (>2 cm) with presence of edema and mass effect and it is hard to distinguish from a brain tumor. However, we present a very rare case of a 53-year-old woman with a right temporal mass that turned out to be a MS plaque, who deteriorated within hours (brain herniation with loss of consciousness and unilateral mydriasis) and required an emergency craniotomy. We also present a review of the literature. It appears that only 4 cases of emergency craniotomy/craniectomy required in a patient with a tumor-like MS plaque have been reported before.
