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KMID : 1103720130680030197
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Journal of the Korean Society of Radiology
2013 Volume.68 No. 3 p.197 ~ p.200
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Relapsing and Progressive Tumefactive Demyelinating Form of Central Nervous System Involvement in a Patient with Progressive Systemic Sclerosis
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Kim Ho-Kyun
Lee Hui-Joong
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Abstract
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White matter hyper intensities (WMHI) on MRI are not rare in patients with progressive systemic sclerosis (PSS). In this presentation, WMHI were developed in both middle cerebellar peduncles and temporal white matter in a patient with PSS, and regressed after medication of high dose steroid. However, new lesions were developed in the subcortices of both precentral gyri, and progressed rapidly to tumefactive hyperintensity on MRI. We report an unusual relapsing and progressive tumefactive demyelinating form of central nervous system involvement in PSS.
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KEYWORD
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Progressive Systemic Sclerosis, Central Nervous System Involvement, MRI
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