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Focal encephalitis simulating neoplasm

Encephalite focale simulant un neoplasme

Focale Encephalitis mit den neuroradiologischen Zeichen einer Geschwulst

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Summary

A case is reported which documents a seldom described angiographic appearance of focal encephalitis. A vascular blush with premature venous filling led to a preoperative diagnosis of neoplasm. Histologic examination revealed inflammatory disease and the patient's high serum antibody titer to herpes simplex suggested this as the etiologic agent.

Résumé

Les auteurs rapportent les images angiographiques rares d'une encéphalite localisée. Un blush vasculaire avec remplissage veineux précoce fit poser le diagnostic préopératoire de néoplasme. L'examen histologique révéla une maladie inflammatoire, et la présence d'un taux élevé d'anticorps sériques anti-herpès simplex fait envisager cette étiologie.

Zusammenfassung

Fallbeschreibung eines Patienten mit den angiographischen Erscheinungen eines Hirntumors (Blush und vorzeitige Venenfüllung). Die histologische Untersuchung und die serologischen Untersuchungen zeigten eine Herpes simplex-Encephalitis.

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Additional information

This investigation was supported in part by USPHS Grant NS-07769 from the National Institute of Neurological Diseases and Stroke.

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Margolis, M.T., Glickman, M.G. & Hoff, J. Focal encephalitis simulating neoplasm. Neuroradiology 4, 3–5 (1972). https://doi.org/10.1007/BF00344801

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