Differential diagnosis of a ring-enhancing brain lesion in the setting of metastatic cancer and a mycotic aneurysm
| العنوان: | Differential diagnosis of a ring-enhancing brain lesion in the setting of metastatic cancer and a mycotic aneurysm |
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| المؤلفون: | Qasim Rahman, Bernard Chow, Daniel Tran, Michael Weed |
| المصدر: | Radiology Case Reports, Vol 16, Iss 12, Pp 3850-3854 (2021) Radiology Case Reports |
| بيانات النشر: | Elsevier, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, R895-920, Case Report, Mycotic aneurysm, medicine.disease, Abscess, Ring-enhancing brain lesion, Lesion, Medical physics. Medical radiology. Nuclear medicine, Aneurysm, Right Common Carotid Artery, Medicine, Radiology, Nuclear Medicine and imaging, Radiology, cardiovascular diseases, medicine.symptom, Differential diagnosis, business, Brain abscess, Stroke |
| الوصف: | A diagnostic challenge arises when a patient presents with a ring-enhancing lesion of the brain in the setting of both metastatic cancer and a source of infection. We report a case depicting this dilemma in an 80-year-old man with a history of metastatic oral squamous cell carcinoma who presented for left-sided hemiparesis. Computed tomography and magnetic resonance imaging revealed a ring-enhancing lesion of the right parietal vertex without signs of stroke. He was also found to have an aneurysm of the right common carotid artery with abnormal surrounding soft tissue density and gas, findings suspicious for a mycotic aneurysm. The likelihood of the brain lesion being an abscess formed by septic embolization was raised, leading to the recommendation to surgically explore the brain lesion and repair the aneurysm. Nevertheless, a high index of suspicion for a brain abscess and mycotic aneurysm is necessary in this type of clinical scenario. |
| اللغة: | English |
| تدمد: | 1930-0433 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a1b3ef3ffd1680d64e7d9ef3e9aad802 http://www.sciencedirect.com/science/article/pii/S1930043321006853 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a1b3ef3ffd1680d64e7d9ef3e9aad802 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19300433 |
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