Disseminated Encephalomyelitis-Like Central Nervous System Neoplasm in Childhood

A malignant neoplasm in the central nervous system with diffuse white matter changes on magnetic resonance imaging (MRI) is rare in children. It could be misdiagnosed as acute disseminated encephalomyelitis. This report presents our experience based on 4 patients (3 male, 1 female; aged 7-13 years)...

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Veröffentlicht in:Journal of child neurology 2014-08, Vol.29 (8), p.NP28-NP34
Hauptverfasser: Zhao, Jianhui, Bao, Xinhua, Fu, Na, Ye, Jintang, Li, Ting, Yuan, Yun, Zhang, Chunyu, Zhang, Yao, Zhang, Yuehua, Qin, Jiong, Wu, Xiru
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container_end_page NP34
container_issue 8
container_start_page NP28
container_title Journal of child neurology
container_volume 29
creator Zhao, Jianhui
Bao, Xinhua
Fu, Na
Ye, Jintang
Li, Ting
Yuan, Yun
Zhang, Chunyu
Zhang, Yao
Zhang, Yuehua
Qin, Jiong
Wu, Xiru
description A malignant neoplasm in the central nervous system with diffuse white matter changes on magnetic resonance imaging (MRI) is rare in children. It could be misdiagnosed as acute disseminated encephalomyelitis. This report presents our experience based on 4 patients (3 male, 1 female; aged 7-13 years) whose MRI showed diffuse lesions in white matter and who were initially diagnosed with acute disseminated encephalomyelitis. All of the patients received corticosteroid therapy. After brain biopsy, the patients were diagnosed with gliomatosis cerebri, primitive neuroectodermal tumor and central nervous system lymphoma. We also provide literature reviews and discuss the differentiation of central nervous system neoplasm from acute disseminated encephalomyelitis.
doi_str_mv 10.1177/0883073813495444
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subjects Adolescent
Adrenal Cortex Hormones - therapeutic use
Antineoplastic Agents, Hormonal - therapeutic use
Brain Diseases - physiopathology
Central Nervous System Neoplasms - diagnosis
Central Nervous System Neoplasms - drug therapy
Child
Diagnosis, Differential
Female
Humans
Lymphoma - diagnosis
Lymphoma - drug therapy
Magnetic Resonance Imaging
Male
Neoplasms, Neuroepithelial - diagnosis
Neoplasms, Neuroepithelial - drug therapy
Neurodegenerative Diseases - physiopathology
title Disseminated Encephalomyelitis-Like Central Nervous System Neoplasm in Childhood
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