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08 December 2025 : Case report  China

Diagnostic Challenges of Cerebral Venous Thrombosis Mimicking Brain Tumor: A Case Report

Unusual clinical course, Mistake in diagnosis, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)

Xingyang Niu ABEF 1, Shuai Li CEF 2, Jiaoxing Li BCE 1, Ran Wang CD 3, Wenli Sheng AEG 1*

DOI: 10.12659/AJCR.949234

Am J Case Rep 2025; 26:e949234

Figure 1 Preoperative neuroimaging findings. (A–C) T1WI shows mixed high and low signals, while T2WI and T2-FLAIR exhibit high signal intensity. (D, E), Contrast-enhanced scans reveal a ring-shaped, uneven enhancement of the lesion, with no significant enhancement in the surrounding edema. (F) MRV shows no obvious abnormalities. (G) CT shows mixed hypodense and hyperdense lesions. (H) PET-CT reveals mildly increased FDG uptake with an SUVmax of approximately 4.0 (red arrow). (I) MRS indicates a significant reduction in NAA at the lesion site, suggesting neuronal loss, with a mild increase in choline.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923