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2021, Number 4

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Rev cubana med 2021; 60 (4)

Glioblastoma multiforme with pseudovascular presentation

Cansino CLA, Morales BI, Roiz BMM

Language: Spanish
References: 10
Page: 1-9
PDF size: 314.18 Kb.


ABSTRACT

Introduction: Glioblastoma multiforme is the most frequent and aggressive primary brain tumor in adults, representing about 25% of intracranial tumors. The main clinical manifestations are given by headache, seizures, behavior changes and a more defined focal syndrome (frontal, temporal, parieto-occipital or corpus callosum). In some patients, the onset is abrupt due to bleeding or rapid growth of an intratumoral cyst. The diagnosis is made by magnetic resonance imaging and confirmed with brain biopsy. Treatment is multidisciplinary and it includes surgical resection, chemotherapy, and radiation therapy. However, the prognosis is poor in most patients.
Objective: To describe the case of a patient with glioblastoma multiforme that presented in a pseudovascular form.
Clinical report: The case of a 60-year-old male patient with a history of arterial hypertension and cerebrovascular disease is report. Three days before his admission, he began to show difficulty speaking and gait disturbance due to loss of muscle strength in the right half of his body. For the foregoing, he was taken to Julio Trigo López Surgical Clinical Hospital where he was admitted and diagnosed with a brain tumor. The patient evolved torpidly and died. The pathological study revealed the presence of a glioblastoma multiforme.
Conclusions: The reported case of glioblastoma multiforme in the form of a motor defect provides information on this condition that is not common in our center.


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