title: [Multiple sclerosis lesions simulating an expansive process on CT].
abstract: Patients with multiple sclerosis may present clinical data suggestive of cerebral tumor. It has been accepted that multiple sclerosis failed to show expansive signs in the computerized tomography (CT). However, since 1979 a total number of 13 patients have been reported to have expansive images at the CT. We report 3 cases with clinical symptoms suggesting a cerebral tumor associated with expansive signs at the CT. The subsequent follow-up of these patients confirmed the diagnosis of clinically defined multiple sclerosis. The management of these patients is difficult. Those patients with previous history suggestive of multiple sclerosis should be probably treated with steroids and followed with serial CT. If a clear recovery was not achieved in a relatively short term, a cerebral biopsy is recommended to rule out a neoplasm. When the clinical presentation begins with signs suggestive of a neoplasm, the cerebral biopsy is recommended.
authors: Servicio de Neurología, Hospital la Paz, Universidad Autónoma, Madrid.
authors: G
authors: G
authors: Amer Ferrer
authors: A
authors: A
authors: Isla
authors: E
authors: E
authors: Díez Tejedor
authors: J M
authors: JM
authors: Roda
authors: M A
authors: MA
authors: Hernández Pérez
authors: P
authors: P
authors: Barreiro Tella
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000175:diagnosis*; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005910:Glioma / Q000175:diagnosis; D006801:Humans; D009103:Multiple Sclerosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
vernacular_title: Lesiones de esclerosis múltiple que simulan un proceso expansivo en la TC.