MRI scan of her brain showed a large tumor in the Right fronto-parietal cortex abutting the motor cortex.


MRI scan of her brain showed a large tumor in the Right fronto-parietal cortex abutting the motor cortex.

• 65-year-old right handed lady with the history of metastatic ovarian cancer who presented with dysarthria and difficulty with bringing the right word out (anomia).
  
  
• Her condition rapidly evolved into inablility in moving her right arm and leg, and speak (aphasia, and right hemiparesis) and she was brought to the emergency room.
• Although patient could understand spoken language, she was unable to express herself (expressive aphasia).

Stereotactic map of the brain was created with 1 mm accuracy around the lesion. The tumor was volumetrically mapped and removed after identifying and  avoiding injury to motor cortex.

• She underwent  image guided frameless stereotactic craniotomy with intraoperative motor cortex mapping.
  
  

• Postoperatively her language function normalized.  Further, her Right sided weakness immediately improved and she was able to walk and use her right arm at a normal level. She was discharged from the hospital.