Overview of space-occupying lesions
Space-occupying lesions within the central nervous system can be diagnosed following presentation with either focal or generalised neurological features. The most common presenting feature is headache, although in 25% of patients, seizures are the initial presentation. Other classic findings include nausea and vomiting, sensory changes, aphasia, focal weakness, depressed level of consciousness, or cognitive and behavioural changes.
There are a number of possible aetiologies of space-occupying lesions, and these are broadly summarised below.
| Tumour | Vascular | Infectious | Inflammatory |
|---|---|---|---|
| Primary | Anomalous vasculature | Abscess (classically bacterial or fungal) | Granulomatous disease (e.g. sarcoidosis) |
| Metastatic | Haemorrhage | Tuberculoma | Vasculitis |
| Infarct | Parasitic cyst formation | Tumefactive MS (multiple sclerosis) lesions | |
| Progressive multifocal leukoencephalopathy (PML) |
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