模拟脑瘤的急性播散性脑脊髓炎：约2例小儿：模拟脑瘤的急性脑脊髓炎。

IF 1.3 4区医学 Q3 PEDIATRICS

Archives De Pediatrie Pub Date : 2025-10-07 DOI:10.1016/j.arcped.2025.05.009

Francesca Albertini, Mériam Koob, Stephane Darteyre, Sébastien Lebon

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引用次数: 0

摘要

急性播散性脑脊髓炎（ADEM）是一种众所周知且可治疗的儿童炎症性疾病，预后良好。存在非典型形式，可导致误诊，有时管理不当。观察与讨论：我们报告两例肿瘤样病变，强调其临床和磁共振成像（MRI）特征。讨论了快速识别的诊断键。结论：瘤源性脱髓鞘病变可与脑肿瘤或脓肿相似，容易误诊和延误治疗。这两个临床病例强调了在儿科患者脑肿瘤鉴别诊断中考虑这个实体的重要性。

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Acute disseminated encephalomyelitis mimicking brain tumor: about 2 pediatric cases: ADEM mimicking brain tumor.

Introduction: Acute disseminated encephalomyelitis (ADEM) ADEM is a well-known and treatable inflammatory pediatric condition with a good prognosis outcome. Atypical forms exist that can lead to misdiagnosis and sometimes inappropriate management.

Observation and discussion: We report two cases with tumor-like lesions, highlighting their clinical and magnetic resonance imaging (MRI) features. Diagnostic keys for prompt recognition are discussed.

Conclusion: Tumefactive demyelinating lesions can mimic brain tumors or abscesses, leading to potential misdiagnosis and inappropriate or delayed treatment. These two clinical cases emphasize the importance of considering this entity in the differential diagnosis of brain tumors in pediatric patients.

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来源期刊

Archives De Pediatrie 医学-小儿科

CiteScore

2.80

自引率

5.60%

发文量

106

审稿时长

24.1 weeks

期刊介绍： Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.