影像学早期误诊为静脉性脑梗死的脑胶质母细胞瘤1例并文献复习

A Case of Glioblastoma Multiforme Initially Misdiagnosed as Venous Cerebral Infarction on Imaging: Literature Review

摘要: 目的：探讨早期脑胶质母细胞瘤在MRI影像上的表现及鉴别诊断，降低脑胶质母细胞瘤早期影像误诊率。方法：回顾性分析株洲市中心医院神经外科收治的1例脑胶质瘤患者的临床资料并复习相关文献。结果：病理证实为高级别胶质瘤，考虑为胶质母细胞瘤。结论：早期胶质母细胞瘤临床表现复杂多样，当其与静脉性脑梗死不易鉴别，临床上应进一步多模态MRI检查。

Abstract: Objective: To explore the MRI imaging manifestations and differential diagnosis of early-stage glioblastoma multiforme (GBM), aiming to reduce the imaging misdiagnosis rate of early cerebral GBM. Methods: A retrospective analysis was conducted on clinical data from one case of cerebral glioma treated in the Department of Neurosurgery at Zhuzhou Central Hospital, combined with a literature review. Results: Pathological examination confirmed the diagnosis of glioblastoma multiforme. Conclusion: Early-stage glioblastoma multiforme exhibits complex and diverse clinical manifestations. When it is difficult to differentiate from venous cerebral infarction, multimodal MRI examinations should be further employed in clinical practice to enhance diagnostic accuracy.