TAILIEUCHUNG - Báo cáo y học: "Case report Demyelinating disease masquerading as a surgical problem: a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: t Demyelinating disease masquerading as a surgical problem: a case series | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Demyelinating disease masquerading as a surgical problem a case series Saufi M Awang1 Nayan M Saiful1 Mohan Madhavan2 Jafri Abdullah1 and John K Tharakan1 Addresses Department of Neurosciences School of Medical Sciences Universiti Sains Malaysia Kelatan Malaysia 2Department of Pathology School of Medical Sciences Universiti Sains Malaysia Kelatan Malaysia Email SMA - saufiawang@ NMS - saiful_209@ MM - departpathologyppspusm@ JA - departneurosciencesppspusm@ JKT - jtbt7@ Corresponding author Received 27 April 2008 Accepted 29 January 2009 Published 5 August 2009 Journal of Medical Case Reports 2009 3 7407 doi 1752-1947-3-7407 This article is available from http jmedicalcasereports article view 7407 2009 Awang et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction We report three cases of demyelinating disease with tumor-like presentation. This information is particularly important to both neurosurgeons and neurologists who should be aware that inflammatory demyelinating diseases can present as a mass lesion which is indistinguishable from a tumor both clinically and radiologically especially when there is no evidence of temporal dissemination of this disease. Case presentation The first patient was a 42-year-old Malay woman who developed subacute onset of progressive quadriparesis with urinary incontinence. Magnetic resonance imaging of her spine showed an intramedullary lesion at the C5-C7 level. She was operated on and biopsy was suggestive of a demyelinating disease. Retrospective history discovered two episodes of acute onset of neurological deficits with partial .

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