Concluded Case

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 ?

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Concluded answer

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 .

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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

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Tumor look wise

It is a Tumor
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