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Similar MR imaging characteristics but different pathological changes: a misdiagnosis for Lhermitte-Duclos disease and review of the literature

First author:Shengyue Huang, Guobin Zhang

Corresponding author:Junting Zhang

Cowden syndrome Lhermitte-Duclos disease magnetic

essential_information

2015-06-01

Published articles

Journal:International Journal of Clinical and Experimental Pathology

Publication type: Case Report

IF(IF): 0.205

PMID: 26261673 Link To Pubmed Full text Download

Background And Purpose

Method

We present a patient who suffered from a normal cerebellum with arachnoid vascular malformation that had imaging characteristics which were indistinguishable from LDD before operation.

Conclusion

This atypical imaging appearance, which could potentially be confused with LDD, may lead to misdiagnosis and inappropriate treatment in the absence of tissue sampling. Thus, this finding suggests that in those patients where images are highly suggestive of LDD but lack other manifestations of Cowden syndrome, biopsy is required and advanced imaging with magnetic resonance spectroscopy (MRS) should be strongly considered.

Main results

This atypical imaging appearance, which could potentially be confused with LDD, may lead to misdiagnosis and inappropriate treatment in the absence of tissue sampling. Thus, this finding suggests that in those patients where images are highly suggestive of LDD but lack other manifestations of Cowden syndrome, biopsy is required and advanced imaging with magnetic resonance spectroscopy (MRS) should be strongly considered.