Çocuk Sağlığı ve Hastalıkları Dergisi 2015 , Vol 58 , Num 4
Clinical and radiological outcome in a patient with tumefactive multiple sclerosis having been treated as low-grade glial tumor
*Mert Şengün1, Emek Uyur Yalçın2, Hülya Maraş Genç2, Yonca Anık3, Bülent Kara4
Kocaeli Üniversitesi Tıp Fakültesi, 1İntörn Doktor, 2Çocuk Nörolojisi Uzmanı, 3Radyoloji Profesörü, 4Pediatri Profesörü
*İletişim: bkuskudar@gmail.com
Şengün M, Uyur Yalçın E, Maraş Genç H, Anık Y, Kara B. (Departments of Pediatrics and Radiology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey). Clinical and radiological outcome in a patient with tumefactive multiple sclerosis having been treated as low-grade glial tumor. Çocuk Sağlığı ve Hastalıkları Dergisi 2015; 58: 152-156.

Tumefactive multiple sclerosis (MS) is a rare and more benign form of MS. Tumefactive MS cases are frequently misdiagnosed as glial tumors, because of the similarity of their clinical, radiological and histopathological findings. It is vital to prevent permanent neurological problems due to unnecessary invasive procedures or therapies. Tumefactive MS should be excluded before invasive diagnostic tests and therapies for the patients who are diagnosed as glial tumor. A 14-year old female was reported to have walking disability and vision loss. Two years ago, she had acute right hemiparesia and vision loss, cranial magnetic resonance imaging (MRI) revealed a large mass in the left hemisphere, histopathological investigation was compatible with glial tumor, and she was treated with chemotherapy and radiotherapy. At her last evaluation, there were no findings for glial tumor on cranial MRI, despite progressive clinical deterioration. Initial cranial MRI was reevaluated and tumefactive MS was diagnosed. This patients was presented to emphasize the importance of the differential diagnosis of tumefactive MS and glial tumor. Anahtar Kelimeler : kafa içi kitle, beyin tümörü, glial tümör, tümefaktif lezyon, multipl skleroz.

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