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MR Spectroscopy and Perfusion MR Imaging Findings of Intracranial Foreign Body Granuloma: a Case Report

  • Jang, Seung-Won (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Sang-Joon (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Sun-Mi (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Jeong-Hyun (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Choi, Choong-Gon (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Deok-Hee (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Eun-Ju (Clinical Scientist, MR, Philips Healthcare) ;
  • Lee, Jung-Kyo (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2009.05.17
  • 심사 : 2009.10.17
  • 발행 : 2010.06.01

초록

We report a case of intracranial foreign body granuloma that showed features of a high grade tumor on magnetic resonance (MR) imaging. However, the relative cerebral blood volume was not increased in the enhancing mass on perfusion MRI and the choline/creatine ratio only slightly increased on MR spectroscopy. The results suggest that the lesion is benign in nature. Perfusion MRI and MR spectroscopy may be helpful to differentiate a foreign body granuloma from a neoplastic condition.

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참고문헌

  1. Ribalta T, McCutcheon IE, Neto AG, Gupta D, Kumar AJ, Biddle DA, et al. Textiloma (gossypiboma) mimicking recurrent intracranial tumor. Arch Pathol Lab Med 2004;128:749-758
  2. Djindjian M, Brugieres P, Razavi-Encha F, Allegret C, Poirier J. Post-operative intracranial foreign body granuloma: a case report. Neuroradiology 1987;29:497-499 https://doi.org/10.1007/BF00341752
  3. Dinesh SK, Lee SY, Thomas J. A case of mistaken identity: intracranial foreign body reaction after AVM embolisation mimicking a glioma. J Clin Neurosci 2008;15:463-465 https://doi.org/10.1016/j.jocn.2006.11.022
  4. Brochert A, Reynolds T, Baker R. MRI in a case of muslininduced granuloma. Neuroradiology 2003;45:82-84 https://doi.org/10.1007/s00234-002-0896-6
  5. Kothbauer KF, Jallo GI, Siffert J, Jimenez E, Allen JC, Epstein FJ. Foreign body reaction to hemostatic materials mimicking recurrent brain tumor. Report of three cases. J Neurosurg 2001;95:503-506 https://doi.org/10.3171/jns.2001.95.3.0503
  6. Vishteh AG, Apostolides PJ, Dean B, Spetzler RF. Magnetic resonance image of postcraniotomy retained cotton or rayon. Case illustration. J Neurosurg 1998;88:928 https://doi.org/10.3171/jns.1998.88.5.0928
  7. Bhatti MT, Holder CA, Newman NJ, Hudgins PA. MR characteristics of muslin-induced optic neuropathy: report of two cases and review of the literature. AJNR Am J Neuroradiol 2000;21:346-352
  8. Jayasundar R, Singh VP, Raghunathan P, Jain K, Banerji AK. Inflammatory granulomas: evaluation with proton MRS. NMR Biomed 1999;12:139-144 https://doi.org/10.1002/(SICI)1099-1492(199905)12:3<139::AID-NBM550>3.0.CO;2-H
  9. Hourani R, Brant LJ, Rizk T, Weingart JD, Barker PB, Horska′ A. Can proton MR spectroscopic and perfusion imaging differentiate between neoplastic and nonneoplastic brain lesions in adults? AJNR Am J Neuroradiol 2008;29:366-372 https://doi.org/10.3174/ajnr.A0810

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