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Computed Tomography in Nonneoplastic Space-Occupying Intracranial Lesions

  • Chapter
Computed Tomography in Intracranial Tumors

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Abstract

A number of nonneoplastic intracranial space-occupying lesions may resemble neoplasms in the CT scan, and definitive diagnosis is not possible with CT studies alone in many cases. Misinterpretations are possible, even when all clinical data are considered in the interpretation of the CT scan. However, the most accurate possiblepreoperative diagnosis is a prerequisite for decisions on therapeutic strategy and surgical approach. Therefore some cases may require the full range of conventional neuroradiological techniques and careful consideration of clinical findings for correct interpretation of the CT scan with its consequences for therapy. Table 6 summarizes the most common alternatives in differential diagnosis of brain tumors. Inflammatory disease and granulomatous lesions constitute the critical group of diseases which may simulate neoplastic lesions. Cystic malformations are also important alternatives in differential diagnosis. Parasites associated with intracranial lesions are rare in Europe and North America, but they must be considered as possibilities in the differential diagnosis of intracranial space-occupying lesions, especially in Central and South America.

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Authors and Affiliations

  1. Abteilung für Röntgendiagnostik — Neuroradiologie im Klinikum Steglitz, Freien Universität Berlin, Hindenburgdamm 30, 1000, Berlin 45, Germany

    Prof. Dr. med. Gianni B. Bradač

  2. Leiter der Nuklearmedizinischen Abteilung der Radiologischen Klinik im Klinikum Großhadern, Ludwig-Maximilians-Universität, Marchioninistr. 15, 8000, München 70, Germany

    Prof. Dr. med. Udalrich Büll

  3. Neurochirurgische Klinik im Klinikum Großhadern, Ludwig-Maximilians-Universität, Marchioninistr. 15, 8000, München 70, Germany

    Prof. Dr. med. Rudolf Fahlbusch

  4. Oberarzt der Neurochirurgischen Abteilung im Klinikum Charlottenburg, Freien Universität Berlin, Spandauer Damm 130, 1000, Berlin 19, Germany

    Prof. Dr. med. Thomas Grumme

  5. Leiter der Abteilung für Neurochirurgie im Klinikum Charlottenburg, Freien Universität Berlin, Spandauer Damm 130, 1000, Berlin 19, Germany

    Prof. Dr. med. Ekkehard Kazner

  6. Oberarzt der Abteilung für Neuroradiologie, Johannes-Gutenberg-Universität, Langenbeckstr. 1, 6500, Mainz, Germany

    Dr. med. Konrad Kretzschmar

  7. Oberarzt an der Neurochirurgischen Klinik im Klinikum Großhadern, Ludwig-Maximilians-Universität, Marchioninistr. 15, 8000, München 70, Germany

    Priv. Doz. Dr. med. Wolfgang Lanksch

  8. Neurochirurgische Abteilung im Klinikum Charlottenburg, Freien Universität Berlin, Spandauer Damm 130, 1000, Berlin 19, Germany

    Dr. med. Wolfang Meese

  9. Oberarzt der Neurochirurgischen Abteilung im Klinikum Steglitz, Freien Universität Berlin, Hindenburgdamm 30, 1000, Berlin 45, Germany

    Priv. Doz. Dr. med. Johannes Schramm

  10. Oberarzt der Radiologischen Klinik im Klinikum Großhadern, Ludwig-Maximilians-Universität, Marchioninistr. 15, 8000, München 70, Germany

    Dr. med. Harald Steinhoff

  11. Vorstand des Instituts für Neuropathologie, Ludwig-Maximilians-Universität München, Thalkirchner Str. 36, 8000, München 2, Germany

    Prof. Dr. med. Otto Stochdorph

  12. Vorstand der Abteilung für Neuroradiologie, Johannes-Gutenberg-Universität, Langenbeckstr. 1, 6500, Mainz, Germany

    Prof. Dr. med. Sigurd Wende

Authors
  1. Prof. Dr. med. Gianni B. Bradač
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  2. Prof. Dr. med. Udalrich Büll
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  3. Prof. Dr. med. Rudolf Fahlbusch
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  4. Prof. Dr. med. Thomas Grumme
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  5. Prof. Dr. med. Ekkehard Kazner
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  6. Dr. med. Konrad Kretzschmar
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  7. Priv. Doz. Dr. med. Wolfgang Lanksch
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  8. Dr. med. Wolfang Meese
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  9. Priv. Doz. Dr. med. Johannes Schramm
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  10. Dr. med. Harald Steinhoff
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  11. Prof. Dr. med. Otto Stochdorph
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  12. Prof. Dr. med. Sigurd Wende
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Editor information

Editors and Affiliations

  1. Leiter der Abteilung für Neurochirurgie im Klinikum Charlottenburg, Freien Universität Berlin, Spandauer Damm 130, 1000, Berlin 19, Germany

    Ekkehard Kazner

  2. Vorstand der Abteilung für Neuroradiologie, Johannes-Gutenberg-Universität, Langenbeckstr. 1, 6500, Mainz, Germany

    Sigurd Wende

  3. Oberarzt der Neurochirurgischen Abteilung im Klinikum Charlottenburg, Freien Universität Berlin, Spandauer Damm 130, 1000, Berlin 19, Germany

    Thomas Grumme

  4. Oberarzt an der Neurochirurgischen Klinik im Klinikum Großhadern, Ludwig-Maximilians-Universität, Marchioninistr. 15, 8000, München 70, Germany

    Wolfgang Lanksch

  5. Vorstand des Instituts für Neuropathologie, Ludwig-Maximilians-Universität München, Thalkirchner Str. 36, 8000, München 2, Germany

    Otto Stochdorph

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Bradač, G.B. et al. (1981). Computed Tomography in Nonneoplastic Space-Occupying Intracranial Lesions. In: Kazner, E., Wende, S., Grumme, T., Lanksch, W., Stochdorph, O. (eds) Computed Tomography in Intracranial Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-96653-8_6

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