Basal ganglia infarction mimicking glioblastoma.
Modern brain imaging techniques usually allow a very good differential diagnosis of intracerebral lesions, but in some cases the differential diagnosis is difficult. We report the case of a 52 year old male with acute brachiofacial paresis and a hyperintense lesion with mass effect and ring-enhancement in basal ganglia suspiciously to a tumor. The neurosurgeons recommend stereotactical brain biopsy for diagnosis, but the patient recovered in following time gradually and in repeated computer tomographic images contrast enhancement disappeared and a hypodense zone in the basal ganglia remains. Our case demonstrates that brain infarctions can mimick glioblastoma in taking cystic appearance and contrast enhancement. Stereotactic biopsy would have been a precipitated invasive procedure in this case.
Yaldizli
O
O
Department of Neurology, University of Essen, Hufelandstr. 55, D-45122 Essen, Germany. oezguer.yaldizli@uni-essen.de
Kastrup
O
O
Wanke
I
I
Maschke
M
M
D001479:Basal Ganglia / Q000473:pathology*; D002544:Cerebral Infarction / Q000175:diagnosis*; D003287:Contrast Media; D003937:Diagnosis, Differential; D005909:Glioblastoma / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D003287:Contrast Media