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Intracranial Tumours that Mimic Transient Cerebral Ischaemia:Lessons from a Large Multicentre Trial
The UK TIA Study Group, JNNP 56:563-5661993., , 1993
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Article Abstract
The clinical records of patients withdrawn from the UK-TIA Aspirin Trial after identification of a brain tumor were reviewed.Certain features of transient focal neurological dysfunction were associated with an underlying brain tumour rather than transient ischaemia:a)focal jerking or shaking;b)pure sensory phenomena;c)loss of consciousness;d)isolated aphasia or speech arrest.In several patients the misdiagnosis occurred because these features were interpreted as the sequelae of previous ischaemic damage.When a transient focal neurological attack is associated with any of these features,a brain tumour must be considered.If patients later develop epilepsy the diagnosis of cerebral ischaemia should be reviewed.
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glioblastoma multiforme(astrocytoma Gr.III)
glioma
meningioma
neoplasm,intracranial
neoplasm,primary intracranial
neoplasm,primary of CNS
transient ischemic attack
transient ischemic attack,differential diagnosis of
transient neurologic deficit
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