29 Year-Old Man with New Onset Seizures

Imaging of a 29-year-old man with seizures showed a frontal lobe mass with curvilinear narrow calcifications, cystic components and multiple flow-voids. An AVM was considered. A DSA confirmed the hypervascular nature of the lesion. It was resected and microscopic examination showed an anaplastic oli...

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Veröffentlicht in:Brain pathology (Zurich, Switzerland) Switzerland), 2013-07, Vol.23 (4), p.477-478
Hauptverfasser: Raz, Eytan, Antonelli, Manila, Saba, Luca, Caramia, Francesca, Luigi Di Paolo, Pier, Bozzao, Luigi, Giangaspero, Felice, Fiorelli, Marco
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container_end_page 478
container_issue 4
container_start_page 477
container_title Brain pathology (Zurich, Switzerland)
container_volume 23
creator Raz, Eytan
Antonelli, Manila
Saba, Luca
Caramia, Francesca
Luigi Di Paolo, Pier
Bozzao, Luigi
Giangaspero, Felice
Fiorelli, Marco
description Imaging of a 29-year-old man with seizures showed a frontal lobe mass with curvilinear narrow calcifications, cystic components and multiple flow-voids. An AVM was considered. A DSA confirmed the hypervascular nature of the lesion. It was resected and microscopic examination showed an anaplastic oligodendroglioma remarkable for a diffuse and hypertrophic vasculature with areas of frank vascular proliferation. The marked vascularity seen on the MRI, the gyriform calcifications and the cystic degeneration are all features which can be encountered in an AVM. This case illustrates that highly vascular malignant gliomas can simulate vascular lesions by radiology and may require an angiogram for diagnosis.
doi_str_mv 10.1111/bpa.12061
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adult
Brain - diagnostic imaging
Brain - pathology
Correspondence
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Seizures - diagnosis
Seizures - physiopathology
Tomography, X-Ray Computed
title 29 Year-Old Man with New Onset Seizures
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