Progressive Tumefactive Demyelination as the Only Result of Extensive Diagnostic Work-Up: A Case Report

Authors

ŠTOURAČ Pavel KOLČAVA Jan KEŘKOVSKÝ Miloš KOPŘIVOVÁ Tereza KŘEN Leoš BEDNAŘÍK Josef

Year of publication 2021
Type Article in Periodical
Magazine / Source Frontiers in Neurology
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.frontiersin.org/articles/10.3389/fneur.2021.701663/full
Doi http://dx.doi.org/10.3389/fneur.2021.701663
Keywords demyelinating diseases; multiple sclerosis; neuropathology; neuroradiology; case report
Description Tumefactive demyelinating lesions belong to the rare variants of multiple sclerosis, posing a diagnostic challenge since it is difficult to distinguish them from a neoplasm or other brain lesions and they require a careful differential diagnosis. This contribution presents the case report of a young female with progressive tumefactive demyelinating brain and spinal cord lesions. An extensive diagnostic process including two brain biopsies and an autopsy did not reveal any explanatory diagnosis other than multiple sclerosis. The patient was treated by various disease-modifying treatments without significant effect and died from ascendent infection via ventriculoperitoneal shunt resulting in Staphylococcus aureus meningitis.
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