Medi-Fax Atlas Series - Anaplastic Cerebral Tumor with Hemorrhage

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Atlas of Brain - Tumours
Astrocytomas

Editor: Dr. Chris Ekong

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Anaplastic Cerebral Tumor with Hemorrhage

Contributor:

Dr. Chris Ekong

Case 1

Age: 64

Sex: Male

History: Sudden severe headache and right hemiparesis

Examination:

Examination showed initial drowsiness, slight dysphasia, and right hemiparesis.

Pre-op X-Rays

Initial CT ,without contrast, of brain on October 11, 1999 showing left parietal globular hemorrhage. The location and appearance were suggestive of an underlying lesion.

CT with Contrast

CT of brain with contrast on October12, 1999 showing enhancement around the haematoma.


CT of brain with contrast on October 19, 1999.




MRI of Brain on October 12, 1999.


MRA of brain showing no vascular lesion.

Treatment

Clinical diagnosis was of a malignant glioma that bled. Consequently, cranioty for left parietal haematoma and tumor was done on October 20, 1999. The histology was consistent with an anaplastic tumor.

Surgery

Intraoperative picture before/after tumor was removed

Histology

Histology showed a Hypercellular Tumour with a lot of mitosis and hemosiderin in the background. Consistent with Glioblastoma.

Progress: March 2001

Patient had surgery and radiation 18 months ago. Now on Dilantin. He is also on Gecachon 4 mg three times a day. He is quite ataxic and has slight right hemiparesis.

MRI of Brain March 2001


MRI of brain T2 images showing left parietal abnormality

MRI of Brain March 2001


MRI of brain with contrast showing left parietal recurrent tumor with involvement of dura.

Treatment

Treatment: Conservative

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Last Updated: January 15, 2010