[False negative results by X scanners in intracranial tumors in adults]

Rev Neurol (Paris). 1995 Dec;151(12):734-8.
[Article in French]

Abstract

We report a cohort of 34 cases, collected between 1978 and 1992, presenting with symptomatic intracranial tumours with a first negative CT scan. Subsequently, the tumours was revealed with a second CT scan or with an another neuroradiological technique (MRI or angiography). These "false negatives" represented 5% of all intracranial tumours seen during the same period of time in the same institution. Gliomas were observed in 67.7% of cases (a majority of them with a high grade). Initially, seizure was the most common clinical presentation (61.8%). Mean delay between the first scan and the definitive diagnosis was 13.4 months. The localization was supra-tentorial in 79.4% and infra-tentorial in 20.6%. This study leads us to discuss the attitude when a first CT scan is normal, more particularly in cases presenting with seizures, and the different factors that can explain the normality of this first CT scan.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / diagnostic imaging*
  • Brain Neoplasms / pathology
  • Diagnostic Errors
  • False Negative Reactions
  • Female
  • Glioma / diagnosis
  • Glioma / diagnostic imaging
  • Glioma / pathology
  • Humans
  • Lymphoma / diagnosis
  • Lymphoma / diagnostic imaging
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Prospective Studies
  • Tomography, X-Ray Computed*