Case Report

Multicentric Glioma or Metastatic Disease A Problem in Diagnosis

Authors: LOUIS S. RUSSO, JR., MD

Abstract

COMPUTERIZED AXIAL TOMOGRAPHY (CAT) has had a major impact on neurologic diagnosis. Multiple intracranial neoplasms demonstrated by CAT may indicate either metastatic lesions or multiple primary cerebral lesions, since 2.5% of all gliomas have a multicentric origin.1 While case reports of multicentric glioma have appeared in the neurologic literature,2,3 a non-neurologic specialist may be unaware of this possibility. In this age of readily available CAT, this procedure may be done on patients with neurologic symptoms before or without their ever seeing a neurologic specialist. Thus we submit this clinical report as a cautionary note.

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References