Published ahead of print on September 10, 2008
doi: 10.3174/ajnr.A1204
Primary Sjögren Syndrome with Tumefactive Central Nervous System Involvement
J. Sanahujaa,
S. Ordoñez-Palaub,
R. Beguéc,
L. Brievaa and
D. Boquetb
a Department of Neurology, Hospital Universitari Arnau de Vilanova-IRBLleida, Lleida, Spain
b Department of Rheumatology, Hospital Universitari Arnau de Vilanova-IRBLleida, Lleida, Spain
c Department of Radiology-Institut de Diagnòstic per la Imatge, Hospital Universitari Arnau de Vilanova-IRBLleida, Lleida, Spain

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Fig 1. A and B, Axial FLAIR (A) and postgadolinium T1-weighted (B) images show a ring-enhancing tumefactive lesion with edema and mass effect. C and D, Axial FLAIR (C) and postgadolinium T1-weighted (D) images 1 month after treatment. The pattern of contrast enhancement thicker medially suggests demyelination. The lesion does not show restricted diffusion on diffusion-weighted images and is hyperintense on the apparent diffusion coefficient images.
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