Left hemiparesis and headache
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Right parietooccipital irregular intra-axial heterogeneous lesion surrounded by perifocal oedema and exerting a positive mass effect on the ipsilateral lateral ventricle. It displays heterogeneous enhancement with a haemorrhagic component at the posterior aspect of this lesion.
Magnetic resonance spectroscopy reveals:
- reduced NAA reflecting neuronal damage
- elevated choline denoting rapid membrane turnover
- marked lipid and lactate rise indicating intralesional necrosis
1 case question available
The case was confirmed histologically.
Glioblastoma is a highly malignant primary brain tumour (WHO IV) and represents the most common primary malignant brain tumour.
- Rees JH, Smirniotopoulos JG, Jones RV et-al. Glioblastoma multiforme: radiologic-pathologic correlation. Radiographics. 1996;16 (6): 1413-38. Radiographics (abstract) - Pubmed citation
- Osborn A, Blaser S, Salzman K. Encyclopedia of Diagnostic Imaging. AMIRSYS. (2008) ISBN:0721629059. Read it at Google Books - Find it at Amazon