Glioblastoma spreading to the corticospinal tract

Case contributed by Dr Nick Tarasov

Presentation

2 months of the left sided hemiparesis treated as a stroke.

Patient Data

Age: 52
Gender: Male

Irregular shaped mass involving both right pre/postcentral gyri with inhomogenous inner architecture.

Mild vasogenic oedema, mild mass effect to the right ventricle.

Vivid enhancement, elevated CBV and CBF and diffusion restriction of the solid component.

The right proximal portion of corticospinal tract fibers involved, best seen on the post contrast coronal images, at the level of tentorium cerebelli.

 

 

Case Discussion

This case well demonstrates how glioma cells can migrate along myelinated white matter fiber tracts and also shows an important role of MRI examination among patients with a possible stroke signs.

A primary brain tumour is one of several clinical presentation for a 'stroke mimic'.

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Case Information

rID: 51438
Case created: 15th Feb 2017
Last edited: 20th Feb 2017
Inclusion in quiz mode: Included

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