Unlabelled: A young woman presented with initial epileptic seizures and multiple 'mass-like' lesions seen on computed tomography and magnetic resonance imaging. Given this presentation and her past medical history, a cerebral biopsy was performed to rule out malignancy, but showed a necrotizing cerebral vasculitis. We describe this case to reinforce the view that primary central nervous system vasculitis (PCNSV) should be considered in the differential diagnosis of a cerebral mass, even if uncommon.
Learning Points: PCNSV may cause a variety of clinical manifestations including seizures.PCNSV lesions can mimic a cerebral mass.Brain biopsy remains the gold standard for the diagnosis of PCNSV, especially to rule out a cancer diagnosis.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346931 | PMC |
| http://dx.doi.org/10.12890/2017_000784 | DOI Listing |
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