large Right frontotemporal brain tumor. (RADIOLOGY) скачать в хорошем качестве

large Right frontotemporal brain tumor. (RADIOLOGY)

21 year old female without any any comorbidity was having multiple episodes of gustatory seizures like change in taste since few months. She had feeling of bitter, sweet, sour, salty taste feeling without any food. She was slightly better with anticonvulsant. She was not having any headache, she had 2 episodes of generalised seizures following which MRI brain was done which was s/o right frontotemporal contrast enhancing tumor which was compressing on ventricle and causing midline shift. Despite of such large tumor surprisingly she had no headache. Tumor was very large 5*4 cm and was near internal capsule and basal ganglia region. She had high postop risk of left sided hemiplegia. She was operated with right FTP craniotomy and gross total excision of tumor was done. Tumor was greyish black, soft and friable, it was very vascular and suckable. Postoperatively she had no neurodeficit, she was mobilised without support on postop day 2 and was discharged in 5 days. Her postop histopathology is suggestive of primary CNS lymphoma however with further IHC study was done which was showing likelyhood of either high grade glioma or oligodendroglioma, to differentiate between these two further molecular workup like IDH1/2 sequencing and 1p19q deletion studies are being carried out. I have given intraoperative edited vdo, radiology and patient vdo, kindly have a look.