Case contributed by Dr Ahmed Abd Rabou


Headache and disturbed conscious level.

Patient Data

Age: 62-year-old
Gender: Male

MRI Brain

Modality: MRI

Large left temproparietal paramedian intra-axial space occupying lesion that is resting medially on the falx cerebri and involves the left forceps major fibers as well as the splenium of the corpus callosum. The lesion displays low T1, bright T2/FLAIR signal with extensive central necrosis and peripheral marginal and nodular enhancement. There are central areas of mild diffusion restriction and susceptibility artifacts. It is surrounded by moderate perifocal edema and exerts positive mass effect in form of anterior displacement of the occipital horn of ipsilateral lateral ventricle and 1 cm rightward midline shift.

Case Discussion

The imaging findings and histopathological data are conclusive of high grade glioma of WHO grade IV i.e. Glioblastoma type.

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Case Information

rID: 39024
Case created: 16th Aug 2015
Last edited: 10th Dec 2015
Inclusion in quiz mode: Included

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