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Co-existence of dual intracranial pathology clinical relevance of proton MRS.

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Author(s): Tripathi R | Gupta A | Gupta S | Kumaran S | Khushu S | Dev A | Balwant

Journal: Neurology India
ISSN 0028-3886

Volume: 48;
Issue: 4;
Start page: 365;
Date: 2000;
Original page

Keywords: Adolescent | Adult | Aged | Astrocytoma | complications | pathology | Brain Neoplasms | complications | pathology | Child | Female | Human | Magnetic Resonance Spectroscopy | Male | Middle Aged | Neurocysticercosis | complications | pathology | Protons

ABSTRACT
The co-existence of neuro-cysticercosis (NCC) and intracranial neoplasm in an individual is a rare entity. Atypical presentation of cerebral cysticercosis may mimic glioma, metastasis, cerebral abscess or vice versa. The dual existence of these two lesions have led to several postulates which may have clinical impact in due course of time i.e. NCC as an oncogenetic factor for glioma or similarity of antigen found in glioma and NCC etc. An adequate management of such cases poses a challenge to both imageologists as well as clinicians. Thus, a proper diagnostic evaluation is essential for successful management of such cases. MR spectroscopy (MRS), although still a clinical research tool, may be extremely useful for exclusion or confirmation of neoplastic lesions in such a clinical scenario. The findings of MRS in collaboration with imaging parameters may increase the diagnostic yield of a MR investigation. The authors encountered five cases of dual intracranial pathologies i.e. neurocysticercosis and glioma. MR spectroscopy was useful to arrive at a definitive diagnosis in such a situation.
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