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Compare
the pathological image-left and the physiological image-right
(blinded)
<<
F:
At
brain windows (CCT after contrast) 1)
multiple, rounded, contrast-enhancing soft-tissue masses with 2) surrounding
low density areas and 3) flattened sulci
H:
Adult
woman, 59-years-old, headache and somnolence for the last 6 weeks. She suffers
from sensory loss and temporary paresis in the right leg. Excision of a malignant
melanoma at the right thigh about 10 years ago.
INFO/WWW-LINKS:
General information: 1) More than 30% of intracranial neoplastic diseases
are caused by metastases/secondaries
(breast, lung, melanoma). Primaries
include: astocytomas, glioblastoma multiforme, oligodendrogliomas, ependymomas,
meningiomas. 2) Rising intracranial pressure can be caused by e. g. head injury,
meningoencephalitis, haemorrhage or cerebral oedema and tumour
D:
At
brain windows there are multiple,
rounded, enhancing metastases,
some with surrounding oedema
(low density areas),
throughout both hemispheres. As evidence of rising intracranial pressure the
sulci are flattened against the inner skull. Hence evidence of multiple metastases
from malignant melanoma.
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