Gliomatosis cerebri: A possible clinical and neuroradiologic "stroke Mimic"

Renzo Manara, Rita Marasco, Valentina Citton, Milena Calderone, Sandro Dal Pos, Chiara Briani

Research output: Contribution to journalArticle

Abstract

Introduction: Thrombolytic therapy for acute ischemic stroke is based on clinical assessment, blood tests, and computed tomography (CT) findings. The presence of early CT ischemic changes may help support therapeutic decision. Our aim is to call attention to a likely overlooked "stroke mimic," Gliomatosis Cerebri (GC). Case Series: Clinical and neuroimaging analysis of 3 patients with documented GC, whose acute clinical onset and CT data (lenticular and ribbon sign and a ipsilateral dot sign) were suggestive of ischemic stroke. Conclusion: Noncerebrovascular conditions may present with both acute onset and false CT signs of early ischemic stroke. Although rare, GC needs to be considered among the possible "stroke mimics" to avoid inappropriate thrombolytic therapy.

Original languageEnglish
Pages (from-to)83-85
Number of pages3
JournalNeurologist
Volume17
Issue number2
DOIs
Publication statusPublished - Mar 2011

Keywords

  • CT
  • gliomatosis cerebri
  • stroke
  • thrombolytic therapy

ASJC Scopus subject areas

  • Clinical Neurology

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