A female with acute onset GTCS

A female aged 45 years Chief Complaints One episode of GTCS 2 hrs back Headache (x2 days) Physical Examination GCS - E4V4M6 No FND or hemiparesis Investigations MRI Brain

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Late onset single episode of fit. MRI brain - Full pictures not posted. ONLY T1W AND FLAIR images available.T2w image and contrast MRI is needed for full discussion. T1w images shows isointense with peripheral hypotension lesion in the left parietal lobe. FLAIR image shows well defind predominantly hyperintense lesion.Also left frontal subgalial swelling. Needs contrast MRI .

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Wish there were more images in more planes,My DDx Meningioma,secondaly low grade glioma.Lesion likely grown over many years,finally resulting in seizure activity.

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Lt cerebral hemisphere shows a gliotic area,which could be reason for seizure.inj valprol 1000 mg iv stat f/b inj valprol 500 mg iv bd,inj mannitol 100 ml iv tds,tab diamox 400 mg BD

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?Meningioma/Glioblastoma

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Limited images D/d Parasagital meningioma glioma

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