Overview of space-occupying lesions | Medibuddy
8th August 2024

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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