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Brain biopsy confirmed glioblastoma multiforme.

USU Teaching File MUTF - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Brain biopsy confirmed glioblastoma multiforme.

History: This patient presented with 3 weeks of progressive weakness in right upper and lower extremities.

Findings: Solitary deep lesion with mild midline shift and patchy enhancement. Abnormal white matter signal in the right hemisphere suggesting tumor extension across the corpus callosum.

Ddx: <li>Astrocytoma - Anaplastic (usually does not show 'cystic' or necrotic area) <li>Glioblastoma Multiforme (usually brighter enhancement) <li>Primary CNS Lymphoma (usually lower signal on T2W) <li>Tumefactive Demyelination (usually does not show edema like this)

Exam: Patient fully alert and oriented. His neurological exam revealed a right sided hemiparesis with strengths of 2/5 in his right lower extremity and 3/5 in the right upper extremity. He was hyperreflexic right greater than left, had right sided spasticity, and a right babinski present with clonus in the ankle. He also had decreased sensation to light touch throughout his right side including his face.

No MeSH data available.


Increased white matter signal in left frontoparietal region with mild midline shift. Non enhancing cystic lesions are seen in the left parietal lobe.  There are areas of enhancement around the cystic lesion on post gad images consistent with small vessel proliferation. Severe edema is present and some increased white matter signal in the right hemisphere may represent tumor extension across the corpus callosum.
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MPX1184_synpic17449: Increased white matter signal in left frontoparietal region with mild midline shift. Non enhancing cystic lesions are seen in the left parietal lobe. There are areas of enhancement around the cystic lesion on post gad images consistent with small vessel proliferation. Severe edema is present and some increased white matter signal in the right hemisphere may represent tumor extension across the corpus callosum.


Brain biopsy confirmed glioblastoma multiforme.

USU Teaching File MUTF - MedPix

Increased white matter signal in left frontoparietal region with mild midline shift. Non enhancing cystic lesions are seen in the left parietal lobe.  There are areas of enhancement around the cystic lesion on post gad images consistent with small vessel proliferation. Severe edema is present and some increased white matter signal in the right hemisphere may represent tumor extension across the corpus callosum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1184&req=5

MPX1184_synpic17449: Increased white matter signal in left frontoparietal region with mild midline shift. Non enhancing cystic lesions are seen in the left parietal lobe. There are areas of enhancement around the cystic lesion on post gad images consistent with small vessel proliferation. Severe edema is present and some increased white matter signal in the right hemisphere may represent tumor extension across the corpus callosum.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Brain biopsy confirmed glioblastoma multiforme.

History: This patient presented with 3 weeks of progressive weakness in right upper and lower extremities.

Findings: Solitary deep lesion with mild midline shift and patchy enhancement. Abnormal white matter signal in the right hemisphere suggesting tumor extension across the corpus callosum.

Ddx: <li>Astrocytoma - Anaplastic (usually does not show 'cystic' or necrotic area) <li>Glioblastoma Multiforme (usually brighter enhancement) <li>Primary CNS Lymphoma (usually lower signal on T2W) <li>Tumefactive Demyelination (usually does not show edema like this)

Exam: Patient fully alert and oriented. His neurological exam revealed a right sided hemiparesis with strengths of 2/5 in his right lower extremity and 3/5 in the right upper extremity. He was hyperreflexic right greater than left, had right sided spasticity, and a right babinski present with clonus in the ankle. He also had decreased sensation to light touch throughout his right side including his face.

No MeSH data available.