Female 68yo. Headache, vomiting, left hemiparesis G4 Known diabetic but normotensive, O/e - Conscious,Afebrile,Pupils - B/l 4mm RTL. Diagnosis??

3 Likes

LikeAnswersShare

A SOL involving right temporoparietal region with perilesional oedema with raised ICP with opposite sided I.e.left hemiparesis.. Most likely a Glioma But a benign lesion like neuro glial cyst is a possibility. A biopsy is required to arrive at a diagnosis and plan the surgery required DM to be controlled with insulin and ICP to be reduced with steroids before surgery

Valuable opinion
0

Large intraaxial mass multiple cystic mass with vasogenic edem left frontoparietal area with involvement of gray & whitematter. DD: Globlastoma multiforme / Metastatic neoplasm/ primary CNS lymphoma. Suggest Radiologist opinion.

Valuable opinion
0

SOL Neurosurgery opinion Needs excision Further management as per HPR

Multiple T2 hyper intense cystic areas with moderate surrounding vasogenic edema in right frontal lobe with mass effect over lateral ventricle. Even though patient is is afebrile, abscess to be ruled out. Other differential include high grade glioma. Need contrast MRI with DWI and MR spectroscopy

Images showing icsol with perilesional edema and midline shift... Indian scenario always rule out tuberculoma /neurocysticercosis followed by tumors

Brain Abscess, MRS, ANTIBIOTICS. neurosurgeon consultation

Valuable opinion
0

Likely malignant glioma excision needed

Right frontal cystic lesion, glioma

??Astrocytoma vs mets HPE awaited

Neurocysticercosis