Hemorrhagic neoplasms: MR mimics of occult vascular malformations Journal Article


Authors: Sze, G.; Krol, G.; Olsen, W. L.; Harper, P. S.; Galicich, J. H.; Heier, L. A.; Zimmerman, R. D.; Deck, M. D. F.
Article Title: Hemorrhagic neoplasms: MR mimics of occult vascular malformations
Abstract: The MR scans of 24 patients who had findings previously reported to be characteristic of occult cerebral vascular malformations were reviewed to demonstrate that such findings may also occur in primary or secondary neoplasms. Eighteen of the 24 patients were found to have hemorrhagic neoplasms. Additional criteria, such as multiplicity of lesions and the presence of edema, were of some help in differentiating between occult vascular malformation and hemorrhagic neoplasm. In certain cases, CT was necessary to provide further information, such as the presence of calcification; however, an absolute and accurate diagnosis was impossible in several cases. The striking similarity on MR between cryptic vascular malformation and some hemorrhagic neoplasms is most likely due to the unifying mechanisms that underlie the evolution of extravascular intracerebral blood. Although the preponderance of neoplastic etiologies in our series may be partly due to the strong bias in our sample population toward patients with tumors, it seems clear that when an MR scan discloses findings 'typical' of an occult vascular malformation, consideration must also be given to the generally more serious possibility of underlying neoplasm.
Keywords: clinical article; nuclear magnetic resonance imaging; brain tumor; computer assisted tomography; differential diagnosis; tumor bleeding; computer analysis; human; article; cerebrovascular malformation
Journal Title: American Journal of Roentgenology
Volume: 149
Issue: 6
ISSN: 0361-803X
Publisher: American Roentgen Ray Society  
Date Published: 1987-12-01
Start Page: 1223
End Page: 1230
Language: English
DOI: 10.2214/ajr.149.6.1223
PUBMED: 3500614
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 5 February 2021 -- Source: Scopus; Acknowledgements: We thank Patricia Dudley for help in manuscript preparation and Bruce Peters, Nicole Baccon, and Noreen O’Donnell for technological assistance
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  1. George Krol
    86 Krol
  2. Gordon Sze
    36 Sze