Heterogenous Enhancement Pattern of Tumour-Like Multiple Sclerosis | 2004, Volume 10 - Issue 3

Selim Serter¹, Serdar Tarhan¹, Deniz Selçuki², Şebnem Örgüç¹

¹Celal Bayar Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, MANİSA
²Celal Bayar Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı, MANİSA

Keywords: multiple sclerosis, MRI, open ring sign

Abstract

Background: Tumour like multiple sclerosis (MS) represents an atypical pattern of presentation. imaging features suggestive of demyelination are important to avoid unnecessary aggresive treatment for tumour. Objective: We present a case of multipl sclerosis simulating brain tumor on magnetic resonance images. We describe the unusual enhancement pattern of tumefactive MS lesion. Findings: Magnetic Resonance lmaging demonstrated diffuse use heterogenously enhancing mass lesion. The lesion showed significant regression of enhancement, edema and mass effect during follow up steroid therapy. Conclusion: The diffuse heterogenous enhancement pattern of MS plaquesshould be taken into consideration for the differential diagnosis of solitary brain lesions.