Case 12
Clinical History:
A 63 year old female had a left temporal glioblastoma diagnosed 15 months prior to the current admission. She underwent resection followed by chemotherapy and radiation therapy. A small recurrence, diagnosed by MRI, was treated with additional radiation therapy one year prior to the current presentation. Three months prior to the current presentation, she was admitted for a left frontoparietal craniotomy with subsequent right facial seizures, right hemiparesis, and dysarthria. A CT scan showed a ring enhancing mass in the posterior left frontal lobe, it was not possible to differentiate radiation necrosis from residual or recurrent tumor. MRI demonstrated enhancement characteristics of the frontal mass "suggestive" of infiltrating tumor. Thallium and HMPAO brain imaging was performed for further evaluation.
Images:
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J. Anthony Parker, MD PhD, Tony_Parker@bih.harvard.edu
