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Magnetic Resonance Spectroscopy and Single-Photon Emission Computed Tomography in the Evaluation of Cerebral Tumors: A Case Report

In their daily clinical practice, physicians have to confront diagnostic dilemmas which cannot be resolved by the application of only one imaging technique. In this case report, we present a 66-year-old woman who was admitted to our institution for the surgical resection of a recently diagnosed brai...

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Autores principales: Siasios, Ioannis, Valotassiou, Varvara, Kapsalaki, Eftychia, Tsougos, Ioannis, Georgoulias, Panagiotis, Fotiadou, Aggeliki, Ioannou, Maria, Koukoulis, Georgios, Dimopoulos, Vassilios, Fountas, Kostas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127220/
https://www.ncbi.nlm.nih.gov/pubmed/27924180
http://dx.doi.org/10.14740/jocmr2775w
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author Siasios, Ioannis
Valotassiou, Varvara
Kapsalaki, Eftychia
Tsougos, Ioannis
Georgoulias, Panagiotis
Fotiadou, Aggeliki
Ioannou, Maria
Koukoulis, Georgios
Dimopoulos, Vassilios
Fountas, Kostas
author_facet Siasios, Ioannis
Valotassiou, Varvara
Kapsalaki, Eftychia
Tsougos, Ioannis
Georgoulias, Panagiotis
Fotiadou, Aggeliki
Ioannou, Maria
Koukoulis, Georgios
Dimopoulos, Vassilios
Fountas, Kostas
author_sort Siasios, Ioannis
collection PubMed
description In their daily clinical practice, physicians have to confront diagnostic dilemmas which cannot be resolved by the application of only one imaging technique. In this case report, we present a 66-year-old woman who was admitted to our institution for the surgical resection of a recently diagnosed brain tumor. The patient had a history of epileptic seizures and was hospitalized in the past for anti-phospholipid syndrome related to a non-Hodgkin lymphoma in remission. Magnetic resonance imaging (MRI) examination revealed an enhancing right parasagittal lesion with significant edema suggestive of a high grade glioma. Advanced MRI techniques including proton magnetic resonance spectroscopy ((1)H-MRS) showed findings compatible of glioma. An additional examination was performed as part of a protocol that we are routinely performing in our institution for all brain tumors including not only the gold standard advanced MRI techniques but also single-photon emission computed tomography (SPECT) with technetium-99m (Tc99m). Brain SPECT indicated the presence of a meningioma which was verified by the histopathology of the resected specimen. In conclusion, a multimodality approach for the pre-surgical assessment of brain tumors has significant advantages not only for the diagnosis but also for the evaluation of intracranial tumors histology.
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spelling pubmed-51272202016-12-06 Magnetic Resonance Spectroscopy and Single-Photon Emission Computed Tomography in the Evaluation of Cerebral Tumors: A Case Report Siasios, Ioannis Valotassiou, Varvara Kapsalaki, Eftychia Tsougos, Ioannis Georgoulias, Panagiotis Fotiadou, Aggeliki Ioannou, Maria Koukoulis, Georgios Dimopoulos, Vassilios Fountas, Kostas J Clin Med Res Case Report In their daily clinical practice, physicians have to confront diagnostic dilemmas which cannot be resolved by the application of only one imaging technique. In this case report, we present a 66-year-old woman who was admitted to our institution for the surgical resection of a recently diagnosed brain tumor. The patient had a history of epileptic seizures and was hospitalized in the past for anti-phospholipid syndrome related to a non-Hodgkin lymphoma in remission. Magnetic resonance imaging (MRI) examination revealed an enhancing right parasagittal lesion with significant edema suggestive of a high grade glioma. Advanced MRI techniques including proton magnetic resonance spectroscopy ((1)H-MRS) showed findings compatible of glioma. An additional examination was performed as part of a protocol that we are routinely performing in our institution for all brain tumors including not only the gold standard advanced MRI techniques but also single-photon emission computed tomography (SPECT) with technetium-99m (Tc99m). Brain SPECT indicated the presence of a meningioma which was verified by the histopathology of the resected specimen. In conclusion, a multimodality approach for the pre-surgical assessment of brain tumors has significant advantages not only for the diagnosis but also for the evaluation of intracranial tumors histology. Elmer Press 2017-01 2016-11-24 /pmc/articles/PMC5127220/ /pubmed/27924180 http://dx.doi.org/10.14740/jocmr2775w Text en Copyright 2017, Siasios et al. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Siasios, Ioannis
Valotassiou, Varvara
Kapsalaki, Eftychia
Tsougos, Ioannis
Georgoulias, Panagiotis
Fotiadou, Aggeliki
Ioannou, Maria
Koukoulis, Georgios
Dimopoulos, Vassilios
Fountas, Kostas
Magnetic Resonance Spectroscopy and Single-Photon Emission Computed Tomography in the Evaluation of Cerebral Tumors: A Case Report
title Magnetic Resonance Spectroscopy and Single-Photon Emission Computed Tomography in the Evaluation of Cerebral Tumors: A Case Report
title_full Magnetic Resonance Spectroscopy and Single-Photon Emission Computed Tomography in the Evaluation of Cerebral Tumors: A Case Report
title_fullStr Magnetic Resonance Spectroscopy and Single-Photon Emission Computed Tomography in the Evaluation of Cerebral Tumors: A Case Report
title_full_unstemmed Magnetic Resonance Spectroscopy and Single-Photon Emission Computed Tomography in the Evaluation of Cerebral Tumors: A Case Report
title_short Magnetic Resonance Spectroscopy and Single-Photon Emission Computed Tomography in the Evaluation of Cerebral Tumors: A Case Report
title_sort magnetic resonance spectroscopy and single-photon emission computed tomography in the evaluation of cerebral tumors: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127220/
https://www.ncbi.nlm.nih.gov/pubmed/27924180
http://dx.doi.org/10.14740/jocmr2775w
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