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- W2054358049 abstract "ABSTRACT Aims: To report a rare clinical case of gliomatosis cerebri, which presented with non-specific clinical, laboratory, and radiological findings. We provide images and stress theimportance of differential diagnosis based on imaging, especially magnetic resonance(MR) spectroscopy.Case Presentation: A 73-year-old woman developed a right hemiplegia suggestive ofischemic stroke. Cerebral magnetic resonance imaging (MRI) highlighted a diffusetumor-related infiltration involving several lobes without contrast enhancement,corresponding to the specific description and definition of gliomatosis cerebri type 1. Withthe aid of MR spectroscopy, we correctly diagnosed the disease preoperatively, whichwas finally confirmed pathologically by stereotactic biopsy. During radiological follow-up,a contrast enhancement occurred on cerebral MRI, suggestive of progression to agliomatosis cerebri type 2. Given a poor performance status, this elderly patient receivedpalliative treatment.Discussion: Gliomatosis cerebri is a relatively rare but well-known entity, which affectsmostly middle aged patients. It often presents with confounding clinical and imagingfeatures, thus additional examinations such as MR spectroscopy are almost alwaysnecessary before reaching the correct diagnosis before biopsy.Conclusion: Contrast enhancement on cerebral MRI, which is usually absent, is foundCase Study" @default.
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- W2054358049 date "2013-01-10" @default.
- W2054358049 modified "2023-09-25" @default.
- W2054358049 title "Gliomatosis Cerebri Type 1 Mimicking an Ischemic Stroke and Progressing to a Type 2: a Case Study and Literature Review" @default.
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- W2054358049 doi "https://doi.org/10.9734/bjmmr/2013/3935" @default.
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