Description

Overview:

(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)

A right-handed 14 year-old boy was admitted for a first unprovoked generalized tonic clonic seizure, which was preceded by ongoing headache and nausea for a few days. His parents also noted a sharp decline in his academic performance in recent months. Physical examination was unremarkable except for the presence of right homonymous superior quadrantanopia. Psychological assessment revealed impairment in his verbal memory and learning. Blood results and EEG were unremarkable. Imaging of the brain by CT showed a left temporal mass with calcifications and hemorrhage (Figure 1), and MRI revealed a large avidly contrast-enhancing left temporal mass measuring 4 x 5 x 4cm with evidence of recent hemorrhage (Figures 2 and 3). There were foci of edema and mass effects causing compression of the left temporal horn with adjacent sulcal effacement (Figure 4). He underwent gross total tumor resection under ultrasound guidance via a left temporal craniotomy.

Subject:

Health, Medicine and Nursing, Education, Life Science

Level:

College / Upper Division, Graduate / Professional, Career / Technical

Material Type:

Case Study, Diagram/Illustration

Author:

Claire Boutet, Cyril Habougit, Fabien Forest, François Casteillo, Michel Péoc’h, Robert Duthel, Romain Manet, Violaine Yvorel

Provider:

University of Pittsburgh School of Medicine

Provider Set:

Department of Pathology

Date Added:

08/01/2022