Central nervous system vasculitis mimicking a brain tumor: A case report

Central nervous system (CNS) vasculitis is a rare inflammatory condition of blood vessels of the brain and spinal cord that can result in profound neurological symptoms mimicking many other pathologies. We present the case of a 36-year-old male who presented with subacute onset of progressive left-sided hemiparesis and refractory seizures. The diagnosis was challenging and required comprehensive review and integration of different imaging modalities, tissue sampling, and biochemical testing. This case highlights key imaging features which may aid in distinguishing central nervous system vasculitis from other etiologies such as malignancy.

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Publication Details

Journal
Radiology Case Reports
Published
2025-12-17
DOI
https://doi.org/10.1016/j.radcr.2025.11.068
Primary Topic
Vasculitis and related conditions
Type
article
Field-Weighted Citation Impact
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article

Central nervous system vasculitis mimicking a brain tumor: A case report

Radiology Case Reports
Vasculitis and related conditions
article

Central nervous system vasculitis mimicking a brain tumor: A case report

article en

Abstract

Central nervous system (CNS) vasculitis is a rare inflammatory condition of blood vessels of the brain and spinal cord that can result in profound neurological symptoms mimicking many other pathologies. We present the case of a 36-year-old male who presented with subacute onset of progressive left-sided hemiparesis and refractory seizures. The diagnosis was challenging and required comprehensive review and integration of different imaging modalities, tissue sampling, and biochemical testing. This case highlights key imaging features which may aid in distinguishing central nervous system vasculitis from other etiologies such as malignancy.

Radiology Case ReportsVol. 21(3)
University of California San Diego (US)
Good health and well-being
Openalex Percentile: Top 29%
Vasculitis and related conditions
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