Concluded Case

High grade GLIOMA left temporoparietal white matter.

New case. 58 yr ,M, Presented with left parietal head ache since 2 months,difficulty to get the correct word at times since 2 weeks. Head ache is mild but constant,no nausia/ vomiting / vertigo.Denied having any motor weakness but the wife noted intermittent tremor of brief duration to rt hand on several occassions since 1 month. Hypertensive on regular med and well under control. On exam BP 140 / 80 mmhg .Speech able to understand ,answering well but unable to repeat words and phrases. Normal optic fundi.Motor system gr5/ 5 power. DTRS equal intact sensation. Cortical sensations preserved. Gait normal. Diagnosis and management?

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Concluded answer

Thanks for all answeres. MRzi brain shows - Heterogeneously enhancing SOL with restricted diffusion,central necrosis and intralesional hemorrhagic foci in the left temporoparietal white matter represent HIGH GRADE GLIOMA(GBM). * Perilesional white matter edema with effacement of cortical sulci and adjacent lateral ventricle. * Mid line shift, subfalcian and unxal herniation to Rt. Informed thesurgical management and postoperative management with the patient and to his wife. All relatives at US,planning to go to US for further management

All Answers

Thanks for all answeres. MRzi brain shows - Heterogeneously enhancing SOL with restricted diffusion,central necrosis and intralesional hemorrhagic foci in the left temporoparietal white matter represent HIGH GRADE GLIOMA(GBM). * Perilesional white matter edema with effacement of cortical sulci and adjacent lateral ventricle. * Mid line shift, subfalcian and unxal herniation to Rt. Informed thesurgical management and postoperative management with the patient and to his wife. All relatives at US,planning to go to US for further management

Heterogenously enhancing sol with large area of central necrosis in periventricular region of lt temporal lobe with neovascularisation, perilesional oedema and mass effect. likely high grade glioma

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high grade glioma.. vs Mets.. regular surgery

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You have asked 2qweations 1(gbm2)treatment craniotomy &exicisiin. Radio&chemotherapeutic

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Heterogenously enhancing SOL left parietotemporal region. Areas of necrosis and haemorrhage within Probably malignant glioma

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Rule out Cerebral Metastasis via PET CT Whole body Most likely High grade Glioma.

Thank you doctor
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Diseases Related to Discussion

Tremor
Glioma
Malignant Glioma