A rare case of tumefactive demyelination of brain: A case report and literature review

Abstract This case report highlights the diagnostic challenges encountered in a 30‐year‐old female presenting with fever followed by Wernicke's aphasia without right‐sided weakness, ultimately diagnosed as tumefactive demyelination (TD). TD is a rare neurological condition often misidentified a...

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Main Authors: Pugazhendi Inban, Ogbonnaya Akuma, Zenia Elavia, Chinaza Mercy Akuma, Mansi Singh, Meet Popatbhai Kachhadia, Agaba Barnett James Musiime
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8369
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author Pugazhendi Inban
Ogbonnaya Akuma
Zenia Elavia
Chinaza Mercy Akuma
Mansi Singh
Meet Popatbhai Kachhadia
Agaba Barnett James Musiime
author_facet Pugazhendi Inban
Ogbonnaya Akuma
Zenia Elavia
Chinaza Mercy Akuma
Mansi Singh
Meet Popatbhai Kachhadia
Agaba Barnett James Musiime
author_sort Pugazhendi Inban
collection DOAJ
description Abstract This case report highlights the diagnostic challenges encountered in a 30‐year‐old female presenting with fever followed by Wernicke's aphasia without right‐sided weakness, ultimately diagnosed as tumefactive demyelination (TD). TD is a rare neurological condition often misidentified as brain tumors or inflammatory disorders. The case emphasizes the importance of precise differentiation through advanced magnetic resonance imaging, showing restricted diffusion at lesion edges and the absence of gadolinium enhancement. Accurate diagnosis is crucial for tailored treatment and prognostic assessment. This case contributes to our understanding of TD and underscores the need for continued research and collaboration in the field of rare neurological disorders.
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spelling doaj.art-debb6f6acb9a4af7bdde34f7f4cb74052023-12-30T04:35:09ZengWileyClinical Case Reports2050-09042023-12-011112n/an/a10.1002/ccr3.8369A rare case of tumefactive demyelination of brain: A case report and literature reviewPugazhendi Inban0Ogbonnaya Akuma1Zenia Elavia2Chinaza Mercy Akuma3Mansi Singh4Meet Popatbhai Kachhadia5Agaba Barnett James Musiime6Department of General Medicine Government Medical College Chennai IndiaEbonyi State University Abakaliki NigeriaDr. DY Patil Medical College Pune IndiaNnamdi Azikiwe University Awka NigeriaBogomolets National Medical University Kyiv UkraineP.D.U Medical College, Civil Hospital Campus Rajkot IndiaRoyal College of General Practitioners (RCGP) London UKAbstract This case report highlights the diagnostic challenges encountered in a 30‐year‐old female presenting with fever followed by Wernicke's aphasia without right‐sided weakness, ultimately diagnosed as tumefactive demyelination (TD). TD is a rare neurological condition often misidentified as brain tumors or inflammatory disorders. The case emphasizes the importance of precise differentiation through advanced magnetic resonance imaging, showing restricted diffusion at lesion edges and the absence of gadolinium enhancement. Accurate diagnosis is crucial for tailored treatment and prognostic assessment. This case contributes to our understanding of TD and underscores the need for continued research and collaboration in the field of rare neurological disorders.https://doi.org/10.1002/ccr3.8369cerebral spinal fluid (CSF)magnetic resonance imaging (MRI)magnetic resonance spectroscopy (MRS)multiple sclerosistumefactive demyelination (TD)Wernicke's aphasia
spellingShingle Pugazhendi Inban
Ogbonnaya Akuma
Zenia Elavia
Chinaza Mercy Akuma
Mansi Singh
Meet Popatbhai Kachhadia
Agaba Barnett James Musiime
A rare case of tumefactive demyelination of brain: A case report and literature review
Clinical Case Reports
cerebral spinal fluid (CSF)
magnetic resonance imaging (MRI)
magnetic resonance spectroscopy (MRS)
multiple sclerosis
tumefactive demyelination (TD)
Wernicke's aphasia
title A rare case of tumefactive demyelination of brain: A case report and literature review
title_full A rare case of tumefactive demyelination of brain: A case report and literature review
title_fullStr A rare case of tumefactive demyelination of brain: A case report and literature review
title_full_unstemmed A rare case of tumefactive demyelination of brain: A case report and literature review
title_short A rare case of tumefactive demyelination of brain: A case report and literature review
title_sort rare case of tumefactive demyelination of brain a case report and literature review
topic cerebral spinal fluid (CSF)
magnetic resonance imaging (MRI)
magnetic resonance spectroscopy (MRS)
multiple sclerosis
tumefactive demyelination (TD)
Wernicke's aphasia
url https://doi.org/10.1002/ccr3.8369
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