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Case 1 History
Presented by: Dr. Joseph Buwembo, Neurosurgeon, Regina
Age: 42 Sex: Male
History:
Patient left handed
October 2002: week h/o diplopia and ataxia.
No headache or seizures.
Examination:
GCS15/15, Right abduscent palsy, ataxia abasia, moderate
bilateral papilloedema.
Pre-op CT head
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CT head without contrast showing large left frontal mass with calcification. |
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| CT head with contrast showing large left frontal mass with calcification. | ||
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| MRI of brain (T2) showing left frontal tumor. | ||
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| MRI of brain showing left frontal tumor with central enhancement. | ||
Diagnosis: Oligodendroglioma or Astrocytoma
Treatment:
Medical - Dilantin & Decadron
Surgery - Frameless stereotaxic awake left frontal craniotomy and tumor excision.
Post-op CTs
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| October 26, 2002 Post-op CTs | ||
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| November 1, 2002 Post-op CTs | ||
Histology: Anaplastic oligodendroglioma (WHO garde3)
Histology Slides
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Chromosome study: 1p and 19q deletions.
Post-op MRIs
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| Post op MRI of brain showing no tumors. | ||
Questions:
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