UMEM Educational Pearls

Question

68 year-old man presents with a new-onset seizure. What's the diagnosis and what's in your differential diagnosis?

Answer

Ring-enhancing lesion

Differential diagnosis of a ring-enhancing lesion

Neoplasm Infectious Neurologic

Primary brain tumor

Pyogenic Abscess Multiple Sclerosis

Primary CNS lymphoma

Tuberculoma Sarcoidosis
Metastatic disease Syphilis Vasculitis
 

Neurocysticercosis  

Aneurysm
  Toxoplasmosis Resolving hematoma
  Nocardiosis Cerebral infarct
  Cyptococcocus Post-op changes
  Aspergillosis  

 

References

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