Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wendell, L. C.
Right arrow Articles by Sims, J. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wendell, L. C.
Right arrow Articles by Sims, J. R.
Related Collections
Right arrow Stroke in young adults
Right arrow CT
Right arrow MRI
Right arrow Metastatic tumor
Right arrow Cardiac; see Cerebrovascular Disease/Cardiac
Right arrow Intracerebral hemorrhage
Linda C. Wendell, MD, Stefanie H. Freeman, MD, Scott R. Plotkin, MD, PhD and John R. Sims, MD

From the Department of Neurology, Rhode Island Hospital/Brown University, Providence, RI (L.C.W.); and Department of Pathology (S.H.F.), Department of Neurology (S.R.P.), and Stroke and Neurocritical Care, Departments of Neurology and Radiology (J.R.S.), Massachusetts General Hospital/Harvard Medical School, Boston, MA.


Figure 112
View larger version (49K):
[in this window]
[in a new window]

  		Figure 1 Noncontrast CT image of left frontal lobar hemorrhage at presentation

 

Figure 212
View larger version (61K):
[in this window]
[in a new window]

  		Figure 2 Brain MRI: gadolinium (A) and susceptibility (B); cardiac imaging: MRI (C) and PET (D)

(A) MRI performed 4 days after initial head CT, T1 sequence with gadolinium, shows left lobar lesion and right frontal lesion at the gray–white junction with enhancement (arrow) and a suggestion of occipital leptomeningeal enhancement (arrow). (B) MRI susceptibility sequence shows right frontal lesion has decreased intensity (arrow) consistent with hemorrhage. (C) Cardiac MRI shows a nonmobile mass (arrow) attached to the left atrial wall. (D) Whole body PET scan demonstrates focal fluorodeoxyglucose uptake (arrow) superior to the left ventricle, which localizes to the intra-atrial mass seen on cardiac MRI.

 

Figure 312
View larger version (153K):
[in this window]
[in a new window]

  		Figure 3 Immunohistochemical evaluation of the brain biopsy

Brain biopsy revealed a densely cellular tumor composed of pleomorphic cells with both epithelioid and spindle cell components, within a background of reactive brain with areas of inflammation and necrosis (hematoxylin and eosin, 20x).

 

Figure 412
View larger version (42K):
[in this window]
[in a new window]

  		Figure 4 Brain MRI: FLAIR (A) and zero B (B)

(A) MRI, performed 7 months after initial presentation and 1 month after completing chemotherapy, shows two large bilateral occipital lobe lesions which caused acute blindness. (B) MRI, zero-b sequence shows both occipital lesions are low intensity, consistent with bilateral hemorrhages.

 




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by AAN Enterprises, Inc.