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Brain Tumor Res Treat.  2022 Jul;10(3):195-199. 10.14791/btrt.2022.0021.

Cerebral Microangiopathy Mimicking a High-Grade Glioma in Old Age: A Case Report

Affiliations
  • 1Departments of Neurosurgery, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea
  • 2Departments of Pathology, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea

Abstract

Cerebral microangiopathy (CM) has become a common disease related to improved neuroimaging modalities and an increased life expectancy. Intracerebral tumor-like mass lesions have rarely been reported in cases of cerebral amyloid angiopathy (CAA) in elderly patients. However, tumor-like mass lesions from CM without amyloid deposits have rarely been reported. These two angiopathies may have different pathogeneses and neuroimaging characteristics. Herein, we present the case of an 83-year-old man with CM mimicking a high-grade glioma. We described the possible pathogenesis and different neuroimaging features of CM compared to CAA.

Keyword

Cerebral amyloid angiopathy; Cerebral small vessel disease; Microangiopathy; cerebral
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