Case Presentation:
Glioblastoma Multiforme (GBM) - Case 6
History & Physical
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64-year-old gentleman who presented to the emergency room with loss of comprehension and ability to speak (global aphasia).
- On examination he had global dysphasia (difficulty with speech).
Imaging
MRI scan of the patient’s brain showed a large left temporal brain tumor.
Computer Navigation
Computer navigation and stereotaxy utilized to map and localize the tumors (outlined in yellow) during surgery.
Surgical Procedure
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He underwent a left temporal craniotomy and surgical resection of the tumor utilizing brain mapping, stereotactic and computer navigation, and intraoperative neurophysiological monitoring.
Pathology
The pathology of the tumor revealed the diagnosis of glioblastoma multiforme (GBM).
Post-op Imaging
Post-op MRIs show radiographic resection of the tumor.
Post-op course
- The patient did well post-operatively and was discharged home with steroids and anticonvulsants. His speech returned to normal. However, due to the malignant nature of this tumor, he underwent conformal radiotherapy of the cavity at the tumor resection site.