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Glioblastoma multiforme

Reed ADR - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Glioblastoma multiforme

History: The patient is a 50 y/o caucasian female in otherwise good health that complains of frequent headaches over the last 3 months that wake her from sleep at night and are present when she wakes in the morning. Sometimes accompanied by nausea and vomiting

Findings: * CT w/out contrast: mass effect evident with poorly defined isodense lesion with surrounding vasogenic edema *T1 image w/out contrast: mass effect with isodense, poorly defined lesion involving splenium of the corpus callosum * Flair: poorly demarcated, hyperintense mass adjacent to ventricles with mass effect, lesion appears to be crossing the corpus collosum and invading opposite hemisphere * DWI: hyperintense lesion adjacent to ventricles and crossing the corpus collosum *ADC: poorly defined hypointense mass demonstrating mass effect on ventricles

Ddx: 1) Lymphoma 2) GBM 3) metastatic disease 4) CNS melanoma

Dxhow: Brain biopsy with pathology demonstrating characteristics of Grade IV astrocytoma.

Exam: PE: all systems beside neuro have no abnormalities Neuro: CN II-XII intact -Sensation- pain, temp and light touch normal, neg Romberg -Strength- 5/5 on right side, some deficit on left with 3/5 strength noted in lower extremity -No cerebellar or gait deficits

No MeSH data available.


Mass effect is evident and there is involvement of the corpus callosum
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Related In: Results  -  Collection

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MPX1429_synpic46945: Mass effect is evident and there is involvement of the corpus callosum


Glioblastoma multiforme

Reed ADR - MedPix (2009)

Mass effect is evident and there is involvement of the corpus callosum
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1429&req=5

MPX1429_synpic46945: Mass effect is evident and there is involvement of the corpus callosum

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Glioblastoma multiforme

History: The patient is a 50 y/o caucasian female in otherwise good health that complains of frequent headaches over the last 3 months that wake her from sleep at night and are present when she wakes in the morning. Sometimes accompanied by nausea and vomiting

Findings: * CT w/out contrast: mass effect evident with poorly defined isodense lesion with surrounding vasogenic edema *T1 image w/out contrast: mass effect with isodense, poorly defined lesion involving splenium of the corpus callosum * Flair: poorly demarcated, hyperintense mass adjacent to ventricles with mass effect, lesion appears to be crossing the corpus collosum and invading opposite hemisphere * DWI: hyperintense lesion adjacent to ventricles and crossing the corpus collosum *ADC: poorly defined hypointense mass demonstrating mass effect on ventricles

Ddx: 1) Lymphoma 2) GBM 3) metastatic disease 4) CNS melanoma

Dxhow: Brain biopsy with pathology demonstrating characteristics of Grade IV astrocytoma.

Exam: PE: all systems beside neuro have no abnormalities Neuro: CN II-XII intact -Sensation- pain, temp and light touch normal, neg Romberg -Strength- 5/5 on right side, some deficit on left with 3/5 strength noted in lower extremity -No cerebellar or gait deficits

No MeSH data available.