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Correspondence
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Volume 336:875-876 March 20, 1997 Number 12
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Cavernous Angioma of the Brain Stem Mimicking Multiple Sclerosis

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To the Editor: Vascular malformations of the brain stem are relatively uncommon and represent about 7 percent of all vascular malformations of the brain.1 They may be manifested as subarachnoid or intraparenchymatous hemorrhages, seizures, or fluctuating or slowly progressive neurologic deficit. In 50 percent of cases, vascular malformations of the brain stem are not visible with angiography.1 Also, standard computed tomography (CT) of the brain may fail to detect small vascular malformations of the brain stem, whereas magnetic resonance imaging (MRI) offers better sensitivity. There are case reports of vascular malformations simulating multiple sclerosis that are revealed after many years . . . [Full Text of this Article]

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