| Title |
Multiple Sclerosis Simulating a Mass Lesion |
| Creator |
Deborah I. Friedman, MD, MPH, Professor, Neurology & Neurotherapeutics, University of Texas Southwestern |
| Affiliation |
Department of Neurology, SUNY Upstate Medical University, Syracuse, New York, USA. |
| Abstract |
The cases of two young women with a homonymous hemianopia are described. Both women had a progressively enlarging mass lesion that was seen with neuroimaging studies. One patient had neurologic deterioration despite intravenous corticosteroid treatment. In each case, results of a stereotactic biopsy showed demyelination that was consistent with multiple sclerosis. Multiple sclerosis infrequently presents as a mass lesion. The atypical clinical and radiographic features of large demyelinating plaques may lead to an erroneous diagnosis of a brain tumor, infection, or demyelination from other causes. |
| Subject |
Adult; Blood Sedimentation; Brain/drug effects; Brain/pathology; Brain Diseases/diagnosis; Brain Diseases/drug therapy; Demyelinating Diseases/diagnosis; Demyelinating Diseases/drug therapy; Dexamethasone/therapeutic use; Female; Glucocorticoids/therapeutic use; Hemianopsia/diagnosis; Hemianopsia/drug therapy; Humans; Magnetic Resonance Imaging; Methylprednisolone/therapeutic use; Multiple Sclerosis/diagnosis; Multiple Sclerosis/drug therapy; Paresis/diagnosis; Paresis/drug therapy; Pregnancy; Stereotaxic Techniques |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225062 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6r52wtb/225062 |
