case_images: PMC6743686_01
case_images: Brain magnetic resonance imaging preoperative showing a large right thalamic lesion.
case_images: SNI-10-41-g001.jpg
case_images: PMC6743686_01_SNI-10-41-g001.jpg
case_images: F1
case_images: April 2016 due to headache, vomiting, and progressive asthenia in the previous 3 weeks. A brain magnetic resonance imaging (MRI) demonstrated a large right thalamic tumor [Figure 1], and the MRI-spectroscopic study showed a high level of choline and low level of N-AcetylAspartate consistent with a high-grade glioma.
case_images: Magnetic resonance imaging with gad, 12 months after the operation.
case_images: SNI-10-41-g002.jpg
case_images: PMC6743686_01_SNI-10-41-g002.jpg
case_images: F2
case_images: Her clinical conditions improved progressively and in August she began CTX with temozolomide (TMZ) and XRT in a standard way. 12 months after surgery the patient had a moderate left arm paresis with small residual tumor showed on the brain-MRI [Figure 2].
case_images: PMC6743686_02
case_images: Magnetic resonance imaging with gad on admission, showing a gross frontal glioblastoma multiforme on the right side.
case_images: SNI-10-41-g003.jpg
case_images: PMC6743686_02_SNI-10-41-g003.jpg
case_images: F3
case_images: A brain MRI showed a large right frontal tumor [Figure 3].
case_images: Magnetic resonance imaging with gad 14 months after the operation.
case_images: SNI-10-41-g004.jpg
case_images: PMC6743686_02_SNI-10-41-g004.jpg
case_images: F4
case_images: The patient was evaluated by the oncologists and radiotherapists and began chemotherapy (CTX) and radiotherapy (XRT) (Stupp protocol). 12 months after surgery her clinical conditions progressively deteriorate with signs of regrowth on MRI [Figure 4].