Subacute Infarction of Recurrent Artery of Heubner Mimicking CNS Tumor With Correlative Brain MRI and 18F-FDG PET/CT Findings

Elif Asli Özer; Can Özütemiz; Anton Nosov; Gaurav Saigal; Ahmet Turan Ilica

doi:10.1097/rlu.0000000000005629

Subacute Infarction of Recurrent Artery of Heubner Mimicking CNS Tumor With Correlative Brain MRI and ¹⁸F-FDG PET/CT Findings

Elif Asli Özer
, Can Özütemiz
, Anton Nosov
, Gaurav Saigal
, Ahmet Turan Ilica

Radiology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

A 62-year-old man, previously treated for oral cavity carcinoma, presented with new-onset cognitive-motor symptoms. Brain MRI revealed a periventricular, avidly enhancing lesion in the right anterior basal ganglia and hypothalamus suspicious for a brain tumor, particularly CNS lymphoma. 18F-FDG brain PET/CT showed corresponding uptake suggestive of primary brain tumor, lymphoma, or metastasis. Follow-up MRI showed resolution of enhancement and mass effect favoring an evolving subacute infarct. The diagnosis of an infarct in the recurrent artery of Heubner territory was facilitated by MRI, and recurrent artery of Heubner infarction was noted as a potential cause for false-positive 18F-FDG uptake on PET/CT, mimicking intracranial tumor.

Original language	English (US)
Pages (from-to)	354-355
Number of pages	2
Journal	Clinical nuclear medicine
Volume	50
Issue number	4
DOIs	https://doi.org/10.1097/rlu.0000000000005629
State	Published - Apr 1 2025

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SDG 3 Good Health and Well-being

Keywords

F-FDG PET/CT
intracranial tumor
recurrent artery of Heubner
subacute infarct

PubMed: MeSH publication types

Journal Article
Case Reports

Publisher link

10.1097/rlu.0000000000005629

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Cite this

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title = "Subacute Infarction of Recurrent Artery of Heubner Mimicking CNS Tumor With Correlative Brain MRI and 18F-FDG PET/CT Findings",

abstract = "A 62-year-old man, previously treated for oral cavity carcinoma, presented with new-onset cognitive-motor symptoms. Brain MRI revealed a periventricular, avidly enhancing lesion in the right anterior basal ganglia and hypothalamus suspicious for a brain tumor, particularly CNS lymphoma. 18F-FDG brain PET/CT showed corresponding uptake suggestive of primary brain tumor, lymphoma, or metastasis. Follow-up MRI showed resolution of enhancement and mass effect favoring an evolving subacute infarct. The diagnosis of an infarct in the recurrent artery of Heubner territory was facilitated by MRI, and recurrent artery of Heubner infarction was noted as a potential cause for false-positive 18F-FDG uptake on PET/CT, mimicking intracranial tumor.",

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T1 - Subacute Infarction of Recurrent Artery of Heubner Mimicking CNS Tumor With Correlative Brain MRI and 18F-FDG PET/CT Findings

AU - Özer, Elif Asli

AU - Özütemiz, Can

AU - Nosov, Anton

AU - Saigal, Gaurav

AU - Ilica, Ahmet Turan

PY - 2025/4/1

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N2 - A 62-year-old man, previously treated for oral cavity carcinoma, presented with new-onset cognitive-motor symptoms. Brain MRI revealed a periventricular, avidly enhancing lesion in the right anterior basal ganglia and hypothalamus suspicious for a brain tumor, particularly CNS lymphoma. 18F-FDG brain PET/CT showed corresponding uptake suggestive of primary brain tumor, lymphoma, or metastasis. Follow-up MRI showed resolution of enhancement and mass effect favoring an evolving subacute infarct. The diagnosis of an infarct in the recurrent artery of Heubner territory was facilitated by MRI, and recurrent artery of Heubner infarction was noted as a potential cause for false-positive 18F-FDG uptake on PET/CT, mimicking intracranial tumor.

AB - A 62-year-old man, previously treated for oral cavity carcinoma, presented with new-onset cognitive-motor symptoms. Brain MRI revealed a periventricular, avidly enhancing lesion in the right anterior basal ganglia and hypothalamus suspicious for a brain tumor, particularly CNS lymphoma. 18F-FDG brain PET/CT showed corresponding uptake suggestive of primary brain tumor, lymphoma, or metastasis. Follow-up MRI showed resolution of enhancement and mass effect favoring an evolving subacute infarct. The diagnosis of an infarct in the recurrent artery of Heubner territory was facilitated by MRI, and recurrent artery of Heubner infarction was noted as a potential cause for false-positive 18F-FDG uptake on PET/CT, mimicking intracranial tumor.

KW - F-FDG PET/CT

KW - intracranial tumor

KW - recurrent artery of Heubner

KW - subacute infarct

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