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Differential diagnosis of cerebral vascular disease and intracranial neoplasm

Differential diagnosis of cerebral vascular disease and intracranial neoplasm

Journal of the American Geriatrics Society 1(6): 427-432

Differential diagnosis is difficult, especially in elderly patients. The diffuse character of many gliomas and the associated vascular changes may simulate cerebral vascular incidents. On the other hand, subcortical hematomas, or swelling of the brain associated with cerebral thrombosis, may give the mechanical effects of a tumor. The most common sources of error are the acceptance of an apparent clinical diangosis without adequate confirmation, failure to repeat diagnostic studies at intervals, and mistakes in interpretation of special diagnostic procedures. The middle-aged adult with clinical evidence of organic cerebral disease must have not only a complete history, general physical examination and detailed neurologic examination, but should have roentgeno-grams of his skull and chest. Unless papillo-edema is present, a spinal fluid examination should be made. Electroencephalog-raphy and radioisotope studies may be helpful. In spite of the risks, either angiography or air studies or both may be necessary to establish the final diagnosis in some cases.

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Accession: 024490177

Download citation: RISBibTeXText

PMID: 13052430

DOI: 10.1111/j.1532-5415.1953.tb01126.x

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