Comput Med Imaging Graph 2002 Sep-Oct;26(5):343
Tsui E, Leung W, Chan J, Cheung Y, Ng S.
Department of Radiology, Tuen Mun Hospital, Tuen Mun NT, Hong Kong, People's Republic of China
Tumefactive demyelinating lesion may sometimes mimic intracranial neoplasm or abscess and pose a diagnostic problem both clinically and radiologically.
The diagnosis is even more complicated since multiple sclerosis is relatively uncommon among Chinese and due to low incidence of oligoclonal protein in the cerebrospinal fluid.
We present a Chinese lady with tumefactive demyelinating lesion, which mimic cystic neoplasm and cerebral abscess.
The use of perfusion and diffusion weighted imaging obviated unnecessary surgical biopsy.