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Year : 2017  |  Volume : 29  |  Issue : 2  |  Page : 139-141

Acute demyelinating encephalomyelitis masquerading as a tumor

Little Flower Hospital and Research Centre, Angamaly, Kerala, India

Correspondence Address:
R Remya
Federal City, Flat No: 2057, Tower 2, Karukutty (PO), Ernakulam, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kjo.kjo_70_17

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A 34-year-old female presented with a history of acute onset severe bilateral defective vision for 2 weeks. Examination revealed visual acuity CFat1 m in the right eye and 6/60 in the left eye. Right eye had Grade 1 relative afferent pupillary defect. Magnetic resonance imaging (MRI) brain was done which showed well-defined T1-hypointense, T2 and FLAIR hyperintense lesion of approximately 1.8 cm × 1.6 cm × 1.7 cm size in the right frontal lobe cortex and underlying white matter with a thin rim of contrast enhancement with well-defined outer border and a cortex broken arc appearance. MR spectroscopy showed increase in choline peak within the enhancing walls of the lesion and no decrease in N-acetyl aspartate peak suggestive of demyelination. Diagnosis of acute demyelinating encephalomyelitis was made and with a course of large dose steroid vision improved dramatically.

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