Abstract
We present the case of a 68-year-old patient who is hospitalized in our clinic for cognitive and attention disorders, progressively progressing over the past three months. The neurological examination revealed, besides cognitive decline, a motor deficit in the right limbs, and mild swallowing disorders for liquids. Although both CT and MRI were performed, the images obtained from the investigations were inconclusive, raising differential diagnosis problems. The patient was subjected to additional investigations, but the diagnosis of certainty was established by performing sterotactic biopsy and histological examination. Although cerebral MRI is the investigation of choice in the diagnosis of glioblastoma, in our patient�s case, the diagnosis of certainty was determined by stereotactic biopsy and subsequent histological examination.
Highlights
In this article we present the case of a 68-year-old patient who is hospitalized in our clinic for cognitive and attention disorders, progressively progressing over the past three months
The patient was subjected to additional investigations, but the diagnosis of certainty was established by performing sterotactic biopsy and histological examination
Cerebral MRI is the investigation of choice in the diagnosis of glioblastoma, in our patient’s case, the diagnosis of certainty was determined by stereotactic biopsy and subsequent histological examination
Summary
We present the case of a 68-year-old patient who is hospitalized in our clinic for cognitive and attention disorders, progressively progressing over the past three months. Nonspecific clinical symptomatology, largely expressed by cognitive decline and lack of interest in daily activities, the absence of intracranial hypertension or epileptic seizures, and the multiple polimorphic lesions, disseminated both supra and infratentorial(cystic, nodular, the presence of calcifications), and the presence of small proportions of cerebral edema, raised issues of differential diagnosis, without being able to exclude a infectious disease, tumoral pathology or cerebral metastasis.
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