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Basal ganglia infarction

Modern brain imaging techniques usually allow a very good differential diagnosis of intracranial lesions, but in some cases the differential diagnosis is difficult.

Yaldizli et al. report the case of a 52 year old male with acute brachiofacial hemiparesis 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 1).

Yaldizli O, Kastrup O, Wanke I, Maschke M. Basal ganglia infarction mimicking glioblastoma. Eur J Med Res. 2005 Sep 12;10(9):400-1. PubMed PMID: 16183553.
basal_ganglia_infarction.txt · Last modified: 2015/11/30 12:41 (external edit)