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Title of Journal: Acta Neurochir

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Abbravation: Acta Neurochirurgica

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Springer Vienna

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DOI

10.1002/hipo.20738

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ISSN

0942-0940

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5aminolevulinic acid 5ALA fluorescence in infe

Authors: Benjamin Voellger Johann Klein Christian Mawrin Raimund Firsching
Publish Date: 2014/07/02
Volume: 156, Issue: 10, Pages: 1977-1978
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Abstract

The incidence of malignant glioma with a rate of three cases per 100000 inhabitants per year 3 is higher than the incidence of brain abscess with 08 cases per 100000 inhabitants per year 4 Infections may similar to glioma lead to a central necrosis and their radiological features are often indistinguishable from each other As the surgical treatment of a brain tumor and inflamed brain tissue is not the same a differentiation prior to resection is important We report a case of brain infection caused by Listeria monocytogenes mimicking a malignant glioma with 5aminolevulinic acid 5ALA fluorescence of brain tissueA 74yearold male presented with intermittent headaches vertigo disturbance of speech and confusion His medical history included ventricular tachycardia which had led to the implantation of a cardioverter defibrillator ICD chronic obstructive pulmonary disease COPD treated with inhalative glucocorticoids and betaadrenergic agonists

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