INTRACRANIAL LESIONS SIMULATING CEREBRAL THROMBOSIS

Abstract

Among a group of 303 patients having signs and symptoms of cerebral vascular disease 4 were later found to have pathological lesions of other than vascular origin. The histories of these four patients and two others, not of this group but exhibiting a similar situation, are here reviewed. The lesions discovered were subdural hematoma, cerebral abcess, two metastatic brain tumors, and two primary brain neoplasms. To limit errors of diagnosis and to obtain best results from therapeutic measures such as anticoagulation, the author advises that any patient with a stroke should have a complete and careful evaluation. When the medical history is inadequate, when atypical features are noted, or when the patient is younger than the age group in which cerebral thrombosis is usually encountered, both arteriography and pneumoencephalography should be seriously considered.