Multiple sclerosis and brain tumor: a diagnostic challenge

J Emerg Med. May-Jun 1989;7(3):241-4. doi: 10.1016/0736-4679(89)90353-3.


Multiple sclerosis may present as a lesion indistinguishable clinically and radiologically from brain tumor. A case of multiple sclerosis is reported with clinical and radiologic features of a brain tumor. A brain biopsy was later undertaken that provided pathological confirmation of the diagnosis of this demyelinating disease. This case report in conjunction with those in the literature indicate that conservative treatment with steroid therapy and serial computed tomography should establish the diagnosis of multiple sclerosis without the need for surgical intervention.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adrenocorticotropic Hormone / therapeutic use
  • Adult
  • Biopsy
  • Brain Neoplasms / complications
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / diagnostic imaging
  • Diagnosis, Differential
  • Female
  • Glioma / diagnosis*
  • Glioma / diagnostic imaging
  • Humans
  • Immunoglobulin G / cerebrospinal fluid
  • Magnetic Resonance Imaging
  • Multiple Sclerosis / complications
  • Multiple Sclerosis / diagnosis*
  • Multiple Sclerosis / diagnostic imaging
  • Prednisone / therapeutic use
  • Tomography, X-Ray Computed


  • Immunoglobulin G
  • Adrenocorticotropic Hormone
  • Prednisone