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 |
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container_title | Journal of child neurology |
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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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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.</description><identifier>ISSN: 0883-0738</identifier><identifier>EISSN: 1708-8283</identifier><identifier>DOI: 10.1177/0883073813495444</identifier><identifier>PMID: 23872916</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>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</subject><ispartof>Journal of child neurology, 2014-08, Vol.29 (8), p.NP28-NP34</ispartof><rights>The Author(s) 2013</rights><rights>The Author(s) 2013.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-b13162a03e14acfcf69761edecab82b792c3e3c975837e25210cbc8ee5c00c943</citedby><cites>FETCH-LOGICAL-c370t-b13162a03e14acfcf69761edecab82b792c3e3c975837e25210cbc8ee5c00c943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0883073813495444$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0883073813495444$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23872916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhao, Jianhui</creatorcontrib><creatorcontrib>Bao, Xinhua</creatorcontrib><creatorcontrib>Fu, Na</creatorcontrib><creatorcontrib>Ye, Jintang</creatorcontrib><creatorcontrib>Li, Ting</creatorcontrib><creatorcontrib>Yuan, Yun</creatorcontrib><creatorcontrib>Zhang, Chunyu</creatorcontrib><creatorcontrib>Zhang, Yao</creatorcontrib><creatorcontrib>Zhang, Yuehua</creatorcontrib><creatorcontrib>Qin, Jiong</creatorcontrib><creatorcontrib>Wu, Xiru</creatorcontrib><title>Disseminated Encephalomyelitis-Like Central Nervous System Neoplasm in Childhood</title><title>Journal of child neurology</title><addtitle>J Child Neurol</addtitle><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.</description><subject>Adolescent</subject><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Antineoplastic Agents, Hormonal - therapeutic use</subject><subject>Brain Diseases - physiopathology</subject><subject>Central Nervous System Neoplasms - diagnosis</subject><subject>Central Nervous System Neoplasms - drug therapy</subject><subject>Child</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Lymphoma - diagnosis</subject><subject>Lymphoma - drug therapy</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Neoplasms, Neuroepithelial - diagnosis</subject><subject>Neoplasms, Neuroepithelial - drug therapy</subject><subject>Neurodegenerative Diseases - physiopathology</subject><issn>0883-0738</issn><issn>1708-8283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1LxDAQhoMo7rp69yQ9eqlmkrZJjrKuH7CooJ5Lmk7drP0yaYX997bs6kEQPA3DPO_D8BJyCvQCQIhLKiWngkvgkYqjKNojUxBUhpJJvk-m4zkc7xNy5P2aUipjRQ_JhHEpmIJkSp6urfdY2Vp3mAeL2mC70mVTbbC0nfXh0r5jMMe6c7oMHtB9Nr0Pnje-w2pYm7bUvgpsHcxXtsxXTZMfk4NClx5PdnNGXm8WL_O7cPl4ez-_WoaGC9qFGXBImKYcIdKmMEWiRAKYo9GZZJlQzHDkRolYcoEsZkBNZiRibCg1KuIzcr71tq756NF3aWW9wbLUNQ4_ppAoYIpGMfwDFcAgBjFa6RY1rvHeYZG2zlbabVKg6Vh5-rvyIXK2s_dZhflP4LvjAQi3gNdvmK6b3tVDMX8LvwB6B4h9</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Zhao, Jianhui</creator><creator>Bao, Xinhua</creator><creator>Fu, Na</creator><creator>Ye, Jintang</creator><creator>Li, Ting</creator><creator>Yuan, Yun</creator><creator>Zhang, Chunyu</creator><creator>Zhang, Yao</creator><creator>Zhang, Yuehua</creator><creator>Qin, Jiong</creator><creator>Wu, Xiru</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20140801</creationdate><title>Disseminated Encephalomyelitis-Like Central Nervous System Neoplasm in Childhood</title><author>Zhao, Jianhui ; Bao, Xinhua ; Fu, Na ; Ye, Jintang ; Li, Ting ; Yuan, Yun ; Zhang, Chunyu ; Zhang, Yao ; Zhang, Yuehua ; Qin, Jiong ; Wu, Xiru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-b13162a03e14acfcf69761edecab82b792c3e3c975837e25210cbc8ee5c00c943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Antineoplastic Agents, Hormonal - therapeutic use</topic><topic>Brain Diseases - physiopathology</topic><topic>Central Nervous System Neoplasms - diagnosis</topic><topic>Central Nervous System Neoplasms - drug therapy</topic><topic>Child</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Lymphoma - diagnosis</topic><topic>Lymphoma - drug therapy</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Neoplasms, Neuroepithelial - diagnosis</topic><topic>Neoplasms, Neuroepithelial - drug therapy</topic><topic>Neurodegenerative Diseases - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Jianhui</creatorcontrib><creatorcontrib>Bao, Xinhua</creatorcontrib><creatorcontrib>Fu, Na</creatorcontrib><creatorcontrib>Ye, Jintang</creatorcontrib><creatorcontrib>Li, Ting</creatorcontrib><creatorcontrib>Yuan, Yun</creatorcontrib><creatorcontrib>Zhang, Chunyu</creatorcontrib><creatorcontrib>Zhang, Yao</creatorcontrib><creatorcontrib>Zhang, Yuehua</creatorcontrib><creatorcontrib>Qin, Jiong</creatorcontrib><creatorcontrib>Wu, Xiru</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Jianhui</au><au>Bao, Xinhua</au><au>Fu, Na</au><au>Ye, Jintang</au><au>Li, Ting</au><au>Yuan, Yun</au><au>Zhang, Chunyu</au><au>Zhang, Yao</au><au>Zhang, Yuehua</au><au>Qin, Jiong</au><au>Wu, Xiru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disseminated Encephalomyelitis-Like Central Nervous System Neoplasm in Childhood</atitle><jtitle>Journal of child neurology</jtitle><addtitle>J Child Neurol</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>29</volume><issue>8</issue><spage>NP28</spage><epage>NP34</epage><pages>NP28-NP34</pages><issn>0883-0738</issn><eissn>1708-8283</eissn><abstract>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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23872916</pmid><doi>10.1177/0883073813495444</doi></addata></record> |
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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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