Type:
Educational Exhibit
Keywords:
CNS, CT, MR, Comparative studies, Infection, Pathology
Authors:
M. belman1, A. J. B. Baxi2, V. Spv1; 1Hyderabad, AP/IN, 2Hyderabad, An/IN
DOI:
10.1594/ecr2013/C-1234
Conclusion
This work provides a comprehensive overview of spectrum of the classic patterns of ring enhancing lesion in the brain.
Ring-enhancing lesions of the brain remain a diagnostic challenge .An attempt has been made to establish the etiological diagnoses of ring-enhancing lesions of the brain using neuroimaging (CT and MRI) and by clinical findings with histopathological corelation.
Our study establishes the role of TB as the leading cause of ring-enhancing lesions in the Indian setup as compared to tumors in the Western world.
It might serve a basis for early recognition and intervention in these patients.Often,
diagnostic challenge is stiffer than expected,
and exact diagnosis is not forthcoming even after radiological evaluation.
In a majority of such cases,
biopsy of the brain lesions remains the only option to establish early diagnosis.
On the basis of our experience we suggest that in patients with multiple ring-enhancing lesions of the brain a CSF examination and imaging of chest should always be performed.
The work-up of these patients should include clinical evaluation,
imaging and laboratory tests.