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Leptomeningeal Dissemination of Malignant Glioma Simulating Cerebral vasculitis:Case Report with Angiographic & Path
Stroke 26:2366-2370, Herman,C.,et al, 1995
See this aricle in Pubmed

Article Abstract
A 54-year-old woman presenting with seizures,headache,and changes in mental status was found to have vascular narrowing in cerebral blood vessels and ischemic lesions on neuroimaging studies of the brain, interpreted as cerebral vasculitis.A brain biopsy showed leptomeningeal glioma.Postmortem examination demonstrated a glioblastoma arising around the right sylvian fissure with extensive subarachnoid dissemination of tumor.The leptomeningeal tumor caused vascular narrowing by encasement, direct vascular wall invasion,and thrombosis and was associated with underlying infarctlike foci of parenchymal necrosis.This case demonstrates an unusual presentation of glioblastoma clinically and radiographically mimicking cerebral vasculitis,and it illustrates a variety of mechanisms for tumor-produced vascular compromise.
 
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angiitis
angiography, cerebral, beaded vessels
angiography,cerebral
CAT scan
CAT scan,abnormal
cerebrospinal fluid,abnormal
cerebrospinal gliomatosis
glioblastoma multiforme(astrocytoma Gr.III)
glioma
gliomatosis cerebri
meningeal gliomatosis
MRI
MRI,abnormal
neuropathology
vasculitides

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