High grade Glioma Rt Temporal
48 yr,M, Presented with progressive weakness of left side with heaviness of left leg for 4 weeks.Insedious onset and progressive symptoms .1st noted mild weakness of left hand grip.Then developed heaviness of left leg with mild stiffness and difficulty to climb up and down stairs.Denied having any significant headache,vomiting ,seizures.Np loss of wt or appetite. He has no known diseases othe than hyperlipidemia. Non smoker and not in the habit of taking ethanol. On exam ,vitals normal,BP 130/ 80mmhg. Neurological exam : Normal higher functions,normal optic fundi. Left obliteration of nasolabial fold. Left grip is mildly weak. Left sided power gr4/5. Spasticity noted left leg with hyperreflexes and left extensor plantar. Intact sensations All blood work up including biochemistry normal. MRI brain done. Patient is transferred to Neurosurgeon for further management. What abnormality in the MRI & Possible diagnosis ?
Thanks for the answer. MRI brain shows a fairly well defind irregularly marginated mass lesion in the Rt anterior temporal region extending to hippocampus. The lesion demonstrates peripheral and patchy internal area of blooming, mild peripheral diffusion restriction irregular thick peripheral rim enhancing and patchy internal enhancement in the anterior and medial aspect.There is increased perfusion with MRS shiwing raised Cho: Cr,Cho : NAA in the enhancing component of the lesion. Imp- High gr Glioma. Surgery done . HPR High gr Glioma. Ref to Oncologist .
Thanks for the answer. MRI brain shows a fairly well defind irregularly marginated mass lesion in the Rt anterior temporal region extending to hippocampus. The lesion demonstrates peripheral and patchy internal area of blooming, mild peripheral diffusion restriction irregular thick peripheral rim enhancing and patchy internal enhancement in the anterior and medial aspect.There is increased perfusion with MRS shiwing raised Cho: Cr,Cho : NAA in the enhancing component of the lesion. Imp- High gr Glioma. Surgery done . HPR High gr Glioma. Ref to Oncologist .
Right temporal lobe masa Mixed density with irregular contrast enhancement most probability originated from rt sphenoidal wing ? Meningioma Surgery will definitely help in this case
New case
Cases that would interest you
- Login to View the image
68 yr, F, No known disease in the past, investigated foe first episode of unprovoked fit, discription suggestive of Generalised tonic clonic convulsion.Denied having any loss of wt / appetite.Examination failed to obtain any focal deficits.Systemic exam was unremarkable. Rotein blood work up, xray chest US abdomen were normal Pt was already refer to neurosurgeon . What is the possible diagnosis?
Dr. Manorama Rajan0 Like18 Answers - Login to View the image
44 yr old female with right sided convulsions. diagnosis n mx
Dr. Sonal Jain3 Likes25 Answers - Login to View the image
24 yr old male with agģressive behaviour headache n blurred vision.diagnosis.mx.?
Dr. Sonal Jain16 Likes16 Answers - Login to View the image
42yrs old male having C/o GME since 4 months ,headache,Vomitting,left sided localized became generalized,No comorbidy All investigations are normal.Diagnosis and approach??
Dr. Prashant Vedwan6 Likes29 Answers - Login to View the image
70yrs/M presented to emergency department due to fall from height following generalized tonic clonic seizure,His past medical history was associated with a prolonged morning headache, which was generalized, dull, non-radiating associated with nausea for the last four months. *Chief Complaints* Seizure,Left sided weakness, vomitting *History* Seizure,Headache *Vitals* BP -120/80,HR -98,Spo2 -98% on room air,RR -18 *Physical Examination* Confused with incoherent speech,power was 2/5 in both upper and lower left limbs, and coordination was intact with reduced sensory sensation. Her toes were down going, and the reflexes were also reduced on the left side of the body. ,Puipls - B/l 4mm RTL,GCS - E2V3M3-4 *Investigations* Awaited *Diagnosis* SOL *Management* Antibiotics,Mannitol,Dexa,levitracetam,Epsolin started.NEUROSURGERY OPINION DONE
Dr. Prashant Vedwan1 Like15 Answers