Pineal region glioblastoma IDH-wildtype

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Acute memory loss for past 3-4 days, confused by simple tasks.

Patient Data

Age: 70 years
Gender: Male

No evidence of intracranial bleed or brain infarct.
Heterogeneous mass lesion at the location of the pineal gland, measuring 15 x 20 x 13 mm (TR x AP x CC), with internal calcification and peripheral calcification at its anterior edge.
The lateral ventricles are dilated. The third ventricle is narrow, despite apparent Sylvian aqueduct compression.
The pituitary gland is flattened across the dorsum sellae.