RT Journal Article
SR Electronic
T1 Lymphocytic Vasculitis Mimicking Aggressive Multifocal Cerebral Neoplasm: MR Imaging and MR Spectroscopic Appearance
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 642
OP 645
VO 26
IS 3
A1 Panchal, Neeraj J.
A1 Niku, Soheil
A1 Imbesi, Steven G.
YR 2005
UL http://www.ajnr.org/content/26/3/642.abstract
AB Summary: We present a case of multifocal enhancing lesions confined to the right cerebral hemisphere that mimicked diffuse neoplasm. MR spectroscopy revealed not only minimal elevation of the choline peak, but also marked elevation of the glutamate and glutamine peaks, findings that are more suggestive of an inflammatory process. Biopsy showed lymphocytic vasculitis, a rare variant of primary angiitis of the CNS. Following appropriate medical therapy, MR imaging demonstrated complete resolution of the lesions.