Ring-enhanced Mass in the Brain of a Woman With Systemic Lupus Erythematosus and Elevated Serum CA19-9 Level : Brain Abscess or Metastatic Tumor?
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概要
- 論文の詳細を見る
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.
- 日本脳神経外科学会の論文
- 2003-01-15
著者
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OHBA Shigeo
Department of Neurosurgery, Ashikaga Red Cross Hospital
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KUROSHIMA Yoshiaki
Department of Neurosurgery, National Hospital Organization Tokyo Medical Center
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MAYANAGI Keita
Department of Neurosurgery, Saitama City Hospital
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INAMASU Joji
Department of Neurosurgery, Saiseikai Utsunomiya Hospital
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SAITO Ryoichi
Department of Neurosurgery, National Hospital Organization Kanagawa Hospital
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NAKAMURA Yoshiki
Department of Neurosurgery, National Hospital Organization Tokyo Medical Center
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ICHIKIZAKI Kiyoshi
Department of Neurosurgery, National Hospital Organization Kanagawa Hospital
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Koyama Kazunori
Department of Internal Medicine, International University of Health and Welfare Mita Hospital
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Saito Ryoichi
Department Of Neurosurgery National Hospital Organization Kanagawa Hospital
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Ohba Shigeo
Department Of Neurosurgery Ashikaga Red Cross Hospital
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Mayanagi Keita
Department Of Neurosurgery Ashikaga Red Cross Hospital
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Inamasu Joji
Department Of Neurosurgery Saiseikai Utsunomiya Hospital
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NISHIKAI Masahiko
Department of Internal Medicine, National Tokyo Medical Center
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Koyama Kazunori
Department Of Internal Medicine National Tokyo Medical Center
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Koyama Kazunori
Department Of Internal Medicine Keio University School Of Medicine
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Nishikai Masahiko
Department Of Internal Medicine National Tokyo Medical Center
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Ichikizaki Kiyoshi
Department Of Neurosurgery National Hospital Organization Kanagawa Hospital
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Ichikizaki Kiyoshi
Department Of Neurosurgery Keio University School Of Medicine
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Kuroshima Yoshiaki
Department Of Neurosurgery National Hospital Organization Tokyo Medical Center
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Kuroshima Yoshiaki
Department Of Neurosurgery Keio University School Of Medicine
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Saito Ryoichi
Department Of Infection Control And Prevention The University Of Tokyo Hospital
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Nakamura Yoshiki
Department Of Neurosurgery National Hospital Organization Tokyo Medical Center
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Nakamura Yoshiki
Department Of Built Environment Interdisciplinary Graduate School Of Science And Engineering Tokyo I
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Inamasu Joji
Department Of Neurosurgery Fujita Health University School Of Medicine
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ICHIKIZAKI KIYOSHI
Department of Neurological Surgery, School of Medicine, Keio University
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INAMASU Joji
Department of Emergency Medicine, Fujita Health University Hospital
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