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  • Journal of Multiple Sclerosis and Neuroimmunology 11(1):25-29, 2020
  • Multiple Cerebral and Spinal Astrocytoma Mimicking Tumefactive Demyelinating Disease
  • Dae Woong Bae, MD, Ko-Eun Choi, MDa , Jae Young An, MD
  • Department of Neurology, The Catholic University of Korea St. Vincent’s Hospital, Suwon, Korea Department of Neurology, The Catholic University of Korea Incheon St. Mary’s Hospital, Inhcheon, Koreaa
A 55-year-old male complained of gait disturbance and dysarthria for 2 weeks. Brain MRI showed multiple ill-defined, scattered lesions, including a tumefactive enhancing lesion. Spinal cord MRI showed a cord lesion at T2-3 without enhancement. Magnetic resonance spectroscopy demonstrated a high choline/N-acetyl-aspartate ratio, suggesting malignancy. Stereotactic biopsy revealed astrocytoma. Herein, we report an uncommon case of multiple gliomas involving both the brain and spinal cord, mimicking central nervous system tumefactive demyelinating diseases and metastatic diseases.
Journal of Multiple Sclerosis and Neuroimmunology 11(1):25-29, 2020
  • keyword : Neoplasms; Demyelinating diseases; Astrocytoma