Brain tumours: differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Brain tumours: differential diagnosis. This shows the double rim sign on susceptibility weighted imaging (SWI). Fully referenced neurology checklist.

Brain abscess

  • This shows the double rim sign on susceptibility weighted imaging (SWI)
  • This sign is absent in necrotic glioblastomas

Other infective differentials

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Congenital infections

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Vascular differentials

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Inflammatory differentials

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Phakomatoses and histiocytosis

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Other differentials

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References

  1. Huisman TAGM. Tumor-like lesions of the brain. Cancer Imaging 2009; 9:S10-S13.
  2. Cunliffe CH,Fischer I, Monoky D, et al. Intracranial lesions mimicking neoplasms. Arch Pathol Lab Med 2009; 133:101–123.
  3. Omuro AMP, Leite CC, Mokhtari K, Delattre JY. Pitfalls in the diagnosis of brain tumours. Lancet Neurol 2006; 5: 937-948.
  4. Bradley D, Rees J. Brain tumour mimics and chameleons. Pract Neurol 2013; 13:359-371.
  5. Toh CH, Wei KC, Chang CN, et al. Differentiation of pyogenic brain abscesses from necrotic glioblastomas with use of susceptibility-weighted imaging. Am J Neuroradiol 2012; 33:1534-1538.
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