Advertisement

Intracranial tumors simulating the presentation of cerebrovascular syndromes

Early detection with cerebral computed tomography (CCT)
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      One hundred thirty consecutive patients in whom the initial diagnosis of cerebrovascular disease was made on clinical basis were evaluated by cerebral computed tomographic (CCT) scan. Three of 20 patients with transient ischemic attacks were found to have an abnormality on CCT scan. Of 30 patients with an initial diagnosis of stroke-in-evolution, 13 were found to have a clinically unsuspected lesion by CCT scan. Of 60 patients with completed stroke, CCT scan made possible differentiation of intracerebral hematoma, hemorrhagic and nonhemorrhagic infarction, and excluded intracranial tumors. Of 20 patients believed to have symptoms of cerebral arteriosclerosis, six had nonvascular lesions and eight had a cerebral atrophic process. This study demonstrates the efficacy of this safe and noninvasive procedure in evaluating patients with cerebrovascular disease.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Carter AB
        Ingravescent cerebral infarction.
        Q J Med. 1960; 29: 611
        • Groch SN
        • Hurwitz LJ
        • Wright IS
        Intracranial lesions simulating cerebral thrombosis.
        JAMA. 1960; 172: 1469
        • Bull JD
        • Marshall J
        • Shaw DA
        Cerebral angiography in the diagnosis of the acute stroke.
        Lancet. 1960; 1: 562
        • Symonds CP
        Spontaneous subarachnoid hemorrhage.
        Q J Med. 1924; 18: 93
        • Walton JN
        Subarachnoid hemorrhage of unusual etiology.
        Neurology. 1953; 3: 517
        • Paxton R
        • Ambrose J
        EMI scanner brief review of first 650 patients.
        Br J Radiol. 1974; 47: 530
        • Davis KR
        • Taveras JM
        • New PF
        • et al.
        Cerebral infarction, Diagnosis by computerized tomography.
        Am J Roentgenol. 1975; 124: 643
        • Yock DA
        • Marshall WH
        • et al.
        Recent ischemic brain infarctions at computed tomography.
        Radiology. 1976; 117: 599
        • McKissock W
        • Richardson A
        • Bloom WH
        Subdural hematoma—a review of 369 cases.
        Lancet. 1960; 1: 1365
        • Melamed E
        • Lavy S
        • Reches A
        • et al.
        Chronic subdural hematoma simulating transient cerebral ischemic attacks.
        J Neurosurg. 1975; 42: 101
        • Daly DD
        • Svien HJ
        • Yoss J
        Intermittent symptoms with meningiomas.
        Arch Neurol. 1961; 5: 287
        • Fisher CM
        • Pearlman A
        The non-sudden onset of cerebral embolism.
        Neurology. 1967; 17: 1025
        • Clarke E
        • Harris P
        Thrombosis of the internal carotid artery simulating an intracranial space occupying lesion.
        Lancet. 1958; 1: 1085
        • Alvarez WC
        Little Strokes.
        in: J. B. Lippincott Co, Philadelphia1970: 10
        • Hachinski VC
        • Lassen NA
        • Marshall J
        Multi infarct dementia. 1974; 2: 207
        • Marsden CD
        • Harrison MJG
        Outcome of investigation of patients with presenile dementia.
        Br Med J. 1972; 2: 249