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[Multiple sclerosis lesions simulating an expansive process on CT]
G Amer Ferrer1, A Isla, E Díez Tejedor
1Servicio de Neurología, Hospital la Paz, Universidad Autónoma, Madrid.
Neurologia (Barcelona, Spain)
|June 1, 1990
Summary
Multiple sclerosis (MS) can mimic brain tumors on CT scans, presenting with expansive lesions. Early steroid treatment and serial CT scans are recommended, with biopsy if symptoms persist.
Area of Science:
- Neurology
- Radiology
Background:
- Multiple sclerosis (MS) typically does not present with expansive lesions on computed tomography (CT).
- Previous reports indicate a small number of MS patients exhibiting such CT findings.
Observation:
- This study details three cases of clinically diagnosed MS presenting with symptoms mimicking a cerebral tumor.
- These patients showed expansive signs on their CT scans, contrary to typical MS presentations.
Findings:
- Follow-up confirmed these patients had multiple sclerosis, despite initial tumor-like imaging.
- The management of MS patients with tumor-suggestive CT findings is challenging.
Implications:
- For patients with a history of MS and tumor-like CT findings, prompt steroid treatment and serial CT monitoring are advised.
- Cerebral biopsy is recommended if recovery is not rapid or if the initial presentation strongly suggests a neoplasm.