Concluded Case

Malignant Astrocytoma - Rt fronto temporal.

47 yr ,M,No known comorbidities developed one episode of unprovoked generalised seizure on 12th of july while at work at Dubai. Since 3 months he has been getting occassional bitemporal head ache ,non- throbbing in nature with out any nausia,vomiting,visual symptoms. No precipitating factors for head ache and after applying some balm he used to get relief of head ache.The head ache was not affected his work.Following the seizure he was taken to the hospital and CT brain was done reported as abnormal and was Suggest surgery at his home town. On exam ,vitals normal. BP120/ 80 mmhg.Normal Optic fundi Intact cranial nerves. Motor system gr5 / 5 power with normal DTRs with intact sensations. Gait was normal.Mri brain with contrast done .All routein blood work up including biochemistry did not reveal any abnormalities. What abnormality in the MRI?

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Concluded answer

Thanks for the answers. Biopsy report Malignant Astrocytoma. MRI large Rt frontotemporal lesion involving the corpus callosum with minimal enhancement, mild perilesional edema. Craniotomy with decompression of lesion done.

All Answers

A right frontal Space occupying lesion Considering ths site and appearance it looks like GLIOMA with significant perilesional oedema and compression of right temporal lobe ... A Neurosurgical opinion is needed as surgical excision is the only possible treatment. Meanwhile reduce oedema by steroids tab Dexamethasone 4 mg B.D Put on Levetiracetam 500 mg B.D And mentally prepare the patient for surgery

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Thanks for the answers. Biopsy report Malignant Astrocytoma. MRI large Rt frontotemporal lesion involving the corpus callosum with minimal enhancement, mild perilesional edema. Craniotomy with decompression of lesion done.

Multiple sclerosis Opinion of neurologist

Thank you doctor
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Rt frontal SOL, Glioma. Edema with Compression over rt temporal lobe as well as left frontal lobe.

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