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- Title
Tumefactive multiple sclerosis requiring emergency craniotomy: Case report and literature review.
- Authors
Munarriz, Pablo M.; Castaño-Leon, Ana M.; Martinez-Perez, Rafael; Hernandez-Lain, Aurelio; Ramos, Ana; Lagares, Alfonso
- Abstract
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.
- Subjects
MULTIPLE sclerosis; CRANIOTOMY; CENTRAL nervous system diseases; DEMYELINATION; BRAIN tumors; LITERATURE reviews; LOSS of consciousness
- Publication
Neurocirugía, 2013, Vol 24, Issue 5, p220
- ISSN
1130-1473
- Publication type
Article
- DOI
10.1016/j.neucir.2013.02.008