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Glioblastoma Multiforme (Astrocytoma Gr 4)

Algert LPA - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Glioblastoma Multiforme (Astrocytoma Gr 4)

History: 66 year old woman complaining of increasing confusion and difficulty with memory for the past 2 weeks. Pt states she cannot remember many common words and has great trouble talking on the phone. Pt also complains of visual disturbances in right eye. No complaints of headaches, facial drooping, hemi-paresis, slurred speech or other signs/symptoms associated with CVA.

Findings: • Large left temporo-parietal heterogeneously enhancing mass with central necrosis and moderate amount of vasogenic edema. • Concerning for a primary glial neoplasm likely GBM. • There is signifcant mass effect associated with this lesion.

Ddx: • Glioblastoma Multiforme • Glioma (lower grade astrocytoma) • Secondary (metastatic) tumor • Abscess

Dxhow: Pathology

Exam: Abnormal Eye Exam: - Pupils equally round and reactive to light - Extra-ocular muscles intact when patient looked around the room, but she had difficulty following my finger (i.e., following commands - Peripheral fields diminished in right eye Neuro strength and motor exam normal Mini Mental Status Exam score: 18/30 All laboratory findings within normal limits

No MeSH data available.


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Glioblastoma Multiforme (Astrocytoma Gr 4)

Algert LPA - MedPix (2010)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2475&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Glioblastoma Multiforme (Astrocytoma Gr 4)

History: 66 year old woman complaining of increasing confusion and difficulty with memory for the past 2 weeks. Pt states she cannot remember many common words and has great trouble talking on the phone. Pt also complains of visual disturbances in right eye. No complaints of headaches, facial drooping, hemi-paresis, slurred speech or other signs/symptoms associated with CVA.

Findings: • Large left temporo-parietal heterogeneously enhancing mass with central necrosis and moderate amount of vasogenic edema. • Concerning for a primary glial neoplasm likely GBM. • There is signifcant mass effect associated with this lesion.

Ddx: • Glioblastoma Multiforme • Glioma (lower grade astrocytoma) • Secondary (metastatic) tumor • Abscess

Dxhow: Pathology

Exam: Abnormal Eye Exam: - Pupils equally round and reactive to light - Extra-ocular muscles intact when patient looked around the room, but she had difficulty following my finger (i.e., following commands - Peripheral fields diminished in right eye Neuro strength and motor exam normal Mini Mental Status Exam score: 18/30 All laboratory findings within normal limits

No MeSH data available.