• Internal medicine · Sep 2023

    Case Reports

    Intracranial Myeloid Sarcoma Mimicking Hypertensive Intracerebral Hemorrhage.

    • Shuhei Ikeda, Masaomi Tsutsumi, Mai Fujita, Sho Okamoto, Makoto Eriguchi, and Hideo Hara.
    • Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Saga University, Japan.
    • Intern. Med. 2023 Sep 1; 62 (17): 253925452539-2545.

    AbstractWe herein report a case of intracranial myeloid sarcoma mimicking hypertensive intracerebral hemorrhage. A 71-year-old man with a history of acute myeloid leukemia was admitted with acute-onset dysarthria. A hematoma-like lesion was found on computed tomography in the left putamen. Magnetic resonance imaging (MRI) and cerebrospinal fluid cytology confirmed the diagnosis of intracranial myeloid sarcoma. The patient showed a favorable response to chemotherapy, and follow-up MRI revealed shrinkage of the tumor. Since the computed tomography findings resemble those of intracerebral hemorrhage, it is important to suspect intracranial neoplasm, particularly in cases with a history of hematologic diseases.

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