Presentation
Behavioral changes, drowsiness, and attacks of convulsion.
Patient Data
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Diffuse enlargement and abnormal signal alteration of both thalami, caudate nuclei, insular regions and medial temporal cortices bilaterally. They display iso intense signal in T1 and bright signal in T2/FLAIR without diffusion restriction or post contrast enhancement.
Diagnosis: Grade II astrocytoma (pathologically proven)
Case Discussion
Grade II astrocytoma (pathologically proven).
Note: IDH mutation status is not provided in this case and according to the current (2016) WHO classification of CNS tumors, this tumor would, therefore, be designated as a diffuse astrocytoma NOS.