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CASE64
CASE 57: MRI Brain
60 M, convulsions
Intra axial mass lesion, Hypo T1, hyper T2, and dense enhancement on contrast. Hemorrhage seen within in on SWI
MR spectroscopy of the lesion shows a raised choline peak with a depressed N-acetyl aspartate peak.?
Diagnosis
Gliobastoma Multiforme (High Grade Glioma)
PEARLS
High Grade Glioma (Gliobastoma Multiforme) is the commonest CNS tumor of adulthood
Typically poorly-marginated, diffusely infiltrating necrotic masses localized to the cerebral hemispheres
MR Spectroscopy aids in diagnosis showing elevated choline peak and depressed NAA levels.
?
Answer is RIGHT
Answer is WRONG
GENDER
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