A Blind Spot in the Diagnostic Field: The Challenging Diagnosis of Tumefactive Multiple Sclerosis

Tumefactive Multiple Sclerosis (TMS) is a rare variant with 1 per 1000 cases of MS and 3 per million cases per year. TMS can mimic clinical and radiological features of a neoplasm, infarction, or abscess and therefore can be diagnostically challenging for clinicians. We present a clinical scenario o...

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Main Authors: Ramy Mando, Emile Muallem, Shaiva G. Meka, Ramona Berghea
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2018/6841291
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author Ramy Mando
Emile Muallem
Shaiva G. Meka
Ramona Berghea
author_facet Ramy Mando
Emile Muallem
Shaiva G. Meka
Ramona Berghea
author_sort Ramy Mando
collection DOAJ
description Tumefactive Multiple Sclerosis (TMS) is a rare variant with 1 per 1000 cases of MS and 3 per million cases per year. TMS can mimic clinical and radiological features of a neoplasm, infarction, or abscess and therefore can be diagnostically challenging for clinicians. We present a clinical scenario of a patient presenting with left homonymous hemianopia with atypical radiological features initially thought to be more consistent with neoplasm or infraction. Ultimately, biopsy was done which led to the diagnosis of tumefactive multiple sclerosis.
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institution Kabale University
issn 2090-6668
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publishDate 2018-01-01
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series Case Reports in Neurological Medicine
spelling doaj-art-4f11da574f984403b151f5ca9a0f708c2025-02-03T01:02:52ZengWileyCase Reports in Neurological Medicine2090-66682090-66762018-01-01201810.1155/2018/68412916841291A Blind Spot in the Diagnostic Field: The Challenging Diagnosis of Tumefactive Multiple SclerosisRamy Mando0Emile Muallem1Shaiva G. Meka2Ramona Berghea3Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, USAOakland University William Beaumont School of Medicine, Rochester, MI, USADepartment of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, USADepartment of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, USATumefactive Multiple Sclerosis (TMS) is a rare variant with 1 per 1000 cases of MS and 3 per million cases per year. TMS can mimic clinical and radiological features of a neoplasm, infarction, or abscess and therefore can be diagnostically challenging for clinicians. We present a clinical scenario of a patient presenting with left homonymous hemianopia with atypical radiological features initially thought to be more consistent with neoplasm or infraction. Ultimately, biopsy was done which led to the diagnosis of tumefactive multiple sclerosis.http://dx.doi.org/10.1155/2018/6841291
spellingShingle Ramy Mando
Emile Muallem
Shaiva G. Meka
Ramona Berghea
A Blind Spot in the Diagnostic Field: The Challenging Diagnosis of Tumefactive Multiple Sclerosis
Case Reports in Neurological Medicine
title A Blind Spot in the Diagnostic Field: The Challenging Diagnosis of Tumefactive Multiple Sclerosis
title_full A Blind Spot in the Diagnostic Field: The Challenging Diagnosis of Tumefactive Multiple Sclerosis
title_fullStr A Blind Spot in the Diagnostic Field: The Challenging Diagnosis of Tumefactive Multiple Sclerosis
title_full_unstemmed A Blind Spot in the Diagnostic Field: The Challenging Diagnosis of Tumefactive Multiple Sclerosis
title_short A Blind Spot in the Diagnostic Field: The Challenging Diagnosis of Tumefactive Multiple Sclerosis
title_sort blind spot in the diagnostic field the challenging diagnosis of tumefactive multiple sclerosis
url http://dx.doi.org/10.1155/2018/6841291
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