Challenges in the clinical and radiological differential diagnosis of cerebrovascular events and malignant primary brain tumors: reports from a retrospective case series

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dc.authorid0000-0002-2424-3117en_US
dc.contributor.authorCivelek, Erdinç
dc.contributor.authorAkyuva, Yener
dc.contributor.authorKaplan, Necati
dc.contributor.authorDiren, Furkan
dc.contributor.authorBoyalı, Osman
dc.contributor.authorKabataş, Serdar
dc.date.accessioned2021-09-03T06:50:42Z
dc.date.available2021-09-03T06:50:42Z
dc.date.issued2020en_US
dc.departmentTayfur Ata Sökmen Tıp Fakültesien_US
dc.description.abstractAIM: To reveal difficulties in differential diagnosis of some cases of cerebrovascular events (CVEs) and malignant primary brain tumors (MBTs) even a multidiciplinary evaluation in grand rounds. MATERIAL and METHODS: This study retrospectively analyzed the patient archives from January 2017–December 2019. The records of 572 patients discussed in these meetings were examined. A total of 8 patients having a challenge in differential diagnosis were detected. RESULTS: This study has included 8 cases in which neurology−neurosurgery−neuroradiology clinicians have difficulty in differentiating CVE and MBT. In the present study, three patients were evaluated with a preliminary diagnosis of hemorrhagic CVE in the emergency room. Since degradation products of hemoglobin have prevented advanced imaging methods to diagnose in two patients, these patients have been followed closely. The correct diagnosis could be made through the scan performed during control follow-ups The preliminary diagnosis of seven patients was CVE, but they received the MBT diagnosis during the follow-up. One patient was thought to have MBT initially; however, he/she was diagnosed with CVE after an advanced examination and close follow-up. CONCLUSION: Despite developing medical imaging methods and diagnostic studies, there are still some difficulties in making differential diagnosis of CVEs and MBTs. In some patients, further examination and imaging methods may be needed such as magnetic resonance imaging-spectroscopy (MRI-S), perfusion magnetic resonance imaging (Per-MRI), digital substratioangiography (DSA). Despite all these neuroradiological examinations and multidiciplinary evaluation, distinction between CVE and MBT may be difficult, and medicolegal problems may be encountered.en_US
dc.identifier.citationKABATAŞ S,AKYUVA Y,KAPLAN N,DİREN F,BOYALI O,KABATAŞ S (2020). Challenges in the Clinical and Radiological Differential Diagnosis of Cerebrovascular Events and Malignant Primary Brain Tumors: Reports from a Retrospective Case Series. Turkish Neurosurgery, 30(4), 604 - 613.en_US
dc.identifier.doi10.5137/1019-5149.JTN.30371-20.2en_US
dc.identifier.endpage613en_US
dc.identifier.issn1019-5149
dc.identifier.issue4en_US
dc.identifier.pmid32530485en_US
dc.identifier.scopus2-s2.0-85088269059en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage604en_US
dc.identifier.trdizinid425803en_US
dc.identifier.urihttps://dx.doi.org/10.5137/1019-5149.JTN.30371-20.2
dc.identifier.urihttps://hdl.handle.net/20.500.12483/3298
dc.identifier.volume30en_US
dc.identifier.wosWOS:000551172600020en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Societyen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Başka Kurum Yazarıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBrain neoplasmsen_US
dc.subjectCerebrovascular diseasesen_US
dc.subjectDifferential diagnosisen_US
dc.subjectMalignanten_US
dc.titleChallenges in the clinical and radiological differential diagnosis of cerebrovascular events and malignant primary brain tumors: reports from a retrospective case seriesen_US
dc.typeArticleen_US

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