volume 26, issue 4, P490-498 2012
DOI: 10.3109/02688697.2012.657269
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Pravin Salunke, Ashish Aggarwal, Kirti Gupta, Pallavi Agrawal, Chirag Kamal Ahuja, Rakesh Kumar Vasishta

Abstract: High index of suspicion is required to diagnose demyelination prior to surgery. Unexplained long standing clinical features, radiology that has contrast enhancement patterns and mass effect (dissociation between contrast enhancement and mass effect) that is unusual for glioma should raise the suspicion of such non-neoplastic lesions. For patients with minimal mass effect with focal deficits, open/stereotactic biopsy from multiple areas of the lesion is preferable for diagnosis. Those presenting with mass effec…

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