Tumefactive multiple sclerosis requiring emergency craniotomy: Case report and literature review. [artículo]
Por: Castaño León, Ana María [Neurocirugía]
| Hernández Laín, Aurelio [ Anatomía Patológica] | Lagares Gómez-Abascal, Alfonso [Neurocirugía] | Martinez Perez, Rafael [Neurocirugía] | Martín Munárriz, Pablo [Neurocirugía] | Ramos González, Ana [Radiodiagnóstico].
Colaborador(es): Servicio de Radiodiagnóstico | Servicio de Neurocirugía | Servicio de Anatomía Patológica.
Editor: Neurocirugía, 2013Descripción: 24(5):220-4.Recursos en línea: Solicitar documento Resumen: 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.
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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.
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