Abstract
A 60-year-old patient presented to the emergency department with sudden onset neurological symptoms suggestive of a cerebrovascular event. Initial diagnostic imaging revealed a complex clinical picture with an unclear diagnosis, with differentials including aneurysm, neoplasm, ischaemia accompanied by cerebral oedema. CT angiography revealed a small aneurysm, while subsequent MRI demonstrated findings consistent with diffuse multifocal glioma and areas of restricted diffusion, suggesting post-compressive ischaemia. This case highlights both the diagnostic challenges of using CT imaging for early suspected stroke and the importance of multimodal imaging when the clinical diagnosis is uncertain.
Published Version
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