Small cortical infarcts mimicking metastatic tumors.
Small cortical enhancing lesions mimicking metastases were demonstrated on contrast imaging in three patients without specific neurologic deficits corresponding to the lesions. One patient had a long carcinoma. However, all had cardiac arrhythmias known as major sources of cerebral emboli. Two had early cerebral infarcts and ischemic heart diseases. The lesions disappeared spontaneously on follow-up studies. They were subsequently presumed to be small infarcts. Clinical information and follow-up examinations are important to differentiate these small cortical lesions from metastases.
Department of Radiology, School of Medicine, Niigata University, Japan.
K
K
Okamoto
J
J
Ito
T
T
Furusawa
K
K
Sakai
M
M
Watanabe
S
S
Tokiguchi
D000368:Aged; D000787:Angina Pectoris / Q000150:complications; D001145:Arrhythmias, Cardiac / Q000150:complications; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000556:secondary; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000175:diagnosis / Q000209:etiology; D008175:Lung Neoplasms / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications; D014057:Tomography, X-Ray Computed