Isolated Angiitis in the Hypothalamus Mimicking Brain Tumor
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概要
- 論文の詳細を見る
A 64-year-old female presented with exaggerating somnolence without contributory medical and lifestyle histories. She was not aware of any preceding infection or headache. Cerebral magnetic resonance imaging demonstrated an isolated enhanced mass in the hypothalamus without meningeal enhancement. Blood and cerebrospinal fluid examinations showed no significant findings except for hypernatremia and hyperprolactinemia. She underwent an open biopsy via the interhemispheric route. Histological examination revealed marked perivascular lymphocytic aggregation with polyclonal immunostaining both for B and T lymphocytes. No findings suggestive of underlying malignancy were recognized. Extensive work-up aiming at systemic vasculitis and lymphoma revealed no signs of extracranial lesion, so the most probable diagnosis was isolated angiitis in the hypothalamus. Angiitis may originate from the hypothalamus and should be considered in the differential diagnosis of hypothalamic lesion mimicking brain tumor on neuroimaging.
- 社団法人 日本脳神経外科学会の論文
- 2008-01-15
著者
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TSUTSUMI Satoshi
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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YASUMOTO Yukimasa
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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ITO Masanori
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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Ito Masanori
Department Of Neurosurgery Juntendo Urayasu Hospital
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Ito Masanori
Department Of Medicine And Molecular Science Hiroshima University Graduate School Of Biomedical Scie
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KANEDA Kazuhiko
Department of Internal Medicine and Rheumatology, Juntendo University School of Medicine
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Tsutsumi Satoshi
Department Of Neurosurgery Juntendo Urayasu Hospital
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Yasumoto Yukimasa
Department Of Neurosurgery Juntendo Urayasu Hospital
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Yasumoto Yukimasa
Department Of Neurological Surgery Juntendo University Urayasu Hospital
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Tsutsumi Satoshi
Department Of Chemical Engineering Faculty Of Engineering Science Osaka University
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Kaneda Kazuhiko
Department Of Internal Medicine And Rheumatology Juntendo University School Of Medicine
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Kaneda Kazuhiko
Departments Of Internal Medicine Juntendo University Urayasu Hospital
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Ito Masanori
Department Of Materials Science And Chemistry University Of Hyogo
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