Subacute infarction of recurrent artery of Heubner mimicking CNS tumor with correlative brain MRI and (18)F-FDG PET/CT findings Journal Article


Authors: Özer, E. A.; Özütemiz, C.; Nosov, A.; Saigal, G.; Ilica, A. T.
Article Title: Subacute infarction of recurrent artery of Heubner mimicking CNS tumor with correlative brain MRI and (18)F-FDG PET/CT findings
Abstract: A 62-year-old man, previously treated for oral cavity carcinoma, presented with new-onset cognitive-motor symptoms. Brain MRI revealed a periventricular, avidly enhancing lesion in the right anterior basal ganglia and hypothalamus suspicious for a brain tumor, particularly CNS lymphoma. 18F-FDG brain PET/CT showed corresponding uptake suggestive of primary brain tumor, lymphoma, or metastasis. Follow-up MRI showed resolution of enhancement and mass effect favoring an evolving subacute infarct. The diagnosis of an infarct in the recurrent artery of Heubner territory was facilitated by MRI, and recurrent artery of Heubner infarction was noted as a potential cause for false-positive 18F-FDG uptake on PET/CT, mimicking intracranial tumor. © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Keywords: adult; clinical article; middle aged; case report; neuroimaging; nuclear magnetic resonance imaging; positron emission tomography; brain tumor; follow up; brain neoplasms; magnetic resonance imaging; diagnosis, differential; differential diagnosis; recurrence; tomography, x-ray computed; pathology; diagnostic imaging; central nervous system tumor; drug uptake; brain; fluorodeoxyglucose f 18; fluorodeoxyglucose f18; positron-emission tomography; recurrent disease; somnolence; infarction; intracranial tumor; mild cognitive impairment; multimodal imaging; unconsciousness; humans; human; male; article; x-ray computed tomography; positron emission tomography-computed tomography; positron emission tomography computed tomography; t1 weighted imaging; <sup>18</sup>f-fdg pet/ct; cerebral artery disease; recurrent artery of heubner; subacute infarct; recurrent artery of heubner infarction
Journal Title: Clinical Nuclear Medicine
Volume: 50
Issue: 4
ISSN: 0363-9762
Publisher: Lippincott Williams & Wilkins  
Date Published: 2025-04-01
Start Page: 354
End Page: 355
Language: English
DOI: 10.1097/rlu.0000000000005629
PUBMED: 39690497
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
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  1. Anton Nosov
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