Glioma Mimicking Infarct

Main Article Content

Ikhwanul Hakim Nasution
Audrina Ernes

Abstract

Backgrounds: Gliomas are one of the most common primary brain tumours. Gliomas may present with imaging that can mimic other primary brain lesions. Objective: To demonstrate the role of radiological imaging (CT scan and MRI) in determining the diagnosis as well as a reference for determining subsequent therapy in patients with primary brain lesions. Case:


This case report describes a 67-year-old male patient with complaints of decreased consciousness and seizures. The patient had a history of headache since 2 months ago and was not accompanied by limb weakness. Discussion: The appearance of low-grade glioma on CT scan gives an image resembling infarction where both give an appearance of hypodense lesions on non-contrast CT and do not enhance on CT with contrast. Therefore, further imaging such as MRI imaging is required. Conclusion: MRI is important modality in assisting the diagnosis of patients with primary brain lesions and can assist in selecting the appropriate treatment.

Article Details

How to Cite
Nasution, I. H., & Ernes, A. (2023). Glioma Mimicking Infarct. PRIMER (Prima Medical Journal), 8(2), 30-41. https://doi.org/10.34012/pmj.v8i2.4256
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Articles

References

Chang E, Brown P, Lo S, Sahgal A, Suh J. Adult CNS Radiation Oncology: Principles and Practice. USA: Springer International Publishing; 2018.

Woodruff W. Fundamentals of Neuroimaging. Saunders Company; 1993.

Osborn AG, Hedlund gary L, L.Salzman K. Osborn’s Brain imaging, pathology, and anatomy, Second Edition. 2nd ed. Physical Review B. Philadelphia: Elsevier; 2018. 197–259 p.

Kao HW, Chiang SW, Chung HW, Tsai FY, Chen CY. Advanced MR imaging of gliomas: An update. Biomed Res Int. 2013;1–14.

Louis DN, Holland EC, Cairncross JG. Glioma classification: A molecular reappraisal. Am J Pathol [Internet]. 2001;159(3):779–86. Available from: http://dx.doi.org/10.1016/S0002-9440(10)61750-6

De Groot JF. High-grade gliomas. Continuum (N Y). 2015;21(2):332–44.

Gladson CL, Prayson RA, Liu WM. The pathobiology of Glioma Tumors. Annu Rev Pathol Mech Dis. 2010;5:33–50.

Fiechter M, Hewer E, Knecht U, Wiest R, Beck J, Raabe A, et al. Adult anaplastic pilocytic astrocytoma - A diagnostic challenge? A case series and literature review. Clin Neurol Neurosurg [Internet]. 2016;147:98–104. Available from: http://dx.doi.org/10.1016/j.clineuro.2016.06.005

Li G, Li Y, Hu Y, Wu Q, Yu H, Deng H, et al. Diffuse low-grade glioma mimicking ischaemic infarct: a case report. Int J Neurosci [Internet]. 2018;128(9):886–90. Available from: https://doi.org/10.1080/00207454.2018.1435537

Heo YJ, Park JE, Kim HS, Lee JY, Nam SJ, Jung SC, et al. Prognostic relevance of gemistocytic grade II astrocytoma: gemistocytic component and MR imaging features compared to non-gemistocytic grade II astrocytoma. Eur Radiol [Internet]. 2017; Available from: http://dx.doi.org/10.1007/s00330-016-4649-z