Ring-enhanced mass in the brain of a woman with systemic lupus erythematosus and elevated serum CA19-9 level: Brain abscess or metastatic tumor? - Case report

Joji Inamasu, Yoshiki Nakamura, Ryoichi Saito, Yoshiaki Kuroshima, Keita Mayanagi, Shigeo Ohba, Masahiko Nishikai, Kazunori Koyama, Kiyoshi Ichikizaki

研究成果: Article

4 引用 (Scopus)

抄録

A 70-year-old woman with systemic lupus erythematosus presented with a brain abscess manifesting as progressive monoparesis of the right lower extremity over 4 days. She had had no episodes of fever, and did not complain of headache or exhibit any signs of meningeal irritability. Computed tomography of the brain showed a round, low-density mass with strong ring enhancement in the left frontal lobe. Laboratory examination found a moderately elevated serum level of CA19-9, a marker of some digestive organ cancers. Together with the absence of febrile episodes, headache, and a rise in leukocyte count, the initial suspicion was metastatic brain tumor rather than brain abscess. However, diffusion-weighted magnetic resonance imaging depicted the mass as a very hyperintense area. The neuroimaging diagnosis was brain abscess. After conservative treatment with intravenous antibiotics for 6 weeks, the brain abscess completely resolved, and the patient was discharged without neurological deficits.

元の言語English
ページ(範囲)43-46
ページ数4
ジャーナルNeurologia medico-chirurgica
43
発行部数1
DOI
出版物ステータスPublished - 01-01-2003
外部発表Yes

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Brain Abscess
Systemic Lupus Erythematosus
Brain
Serum
Headache
Neoplasms
Fever
Diffusion Magnetic Resonance Imaging
Frontal Lobe
Paresis
Leukocyte Count
Neuroimaging
Brain Neoplasms
Lower Extremity
Tomography
Anti-Bacterial Agents

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

これを引用

Inamasu, Joji ; Nakamura, Yoshiki ; Saito, Ryoichi ; Kuroshima, Yoshiaki ; Mayanagi, Keita ; Ohba, Shigeo ; Nishikai, Masahiko ; Koyama, Kazunori ; Ichikizaki, Kiyoshi. / Ring-enhanced mass in the brain of a woman with systemic lupus erythematosus and elevated serum CA19-9 level : Brain abscess or metastatic tumor? - Case report. :: Neurologia medico-chirurgica. 2003 ; 巻 43, 番号 1. pp. 43-46.
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abstract = "A 70-year-old woman with systemic lupus erythematosus presented with a brain abscess manifesting as progressive monoparesis of the right lower extremity over 4 days. She had had no episodes of fever, and did not complain of headache or exhibit any signs of meningeal irritability. Computed tomography of the brain showed a round, low-density mass with strong ring enhancement in the left frontal lobe. Laboratory examination found a moderately elevated serum level of CA19-9, a marker of some digestive organ cancers. Together with the absence of febrile episodes, headache, and a rise in leukocyte count, the initial suspicion was metastatic brain tumor rather than brain abscess. However, diffusion-weighted magnetic resonance imaging depicted the mass as a very hyperintense area. The neuroimaging diagnosis was brain abscess. After conservative treatment with intravenous antibiotics for 6 weeks, the brain abscess completely resolved, and the patient was discharged without neurological deficits.",
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Ring-enhanced mass in the brain of a woman with systemic lupus erythematosus and elevated serum CA19-9 level : Brain abscess or metastatic tumor? - Case report. / Inamasu, Joji; Nakamura, Yoshiki; Saito, Ryoichi; Kuroshima, Yoshiaki; Mayanagi, Keita; Ohba, Shigeo; Nishikai, Masahiko; Koyama, Kazunori; Ichikizaki, Kiyoshi.

:: Neurologia medico-chirurgica, 巻 43, 番号 1, 01.01.2003, p. 43-46.

研究成果: Article

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AU - Saito, Ryoichi

AU - Kuroshima, Yoshiaki

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AU - Ohba, Shigeo

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