Atypical Presentation of a Hemorrhagic Glioblastoma Multiforme Mimicking a Cerebral Contusion.

Autor:	Piedade GS; Department of Neurosurgery, Helios Universitätsklinikum Wuppertal, Wuppertal, DEU., Manoku E; Department of Neurosurgery, Helios Universitätsklinikum Wuppertal, Wuppertal, DEU., Gelhardt AL; Department of Neurosurgery, Medical School, Federal University of Paraná, Curitiba, BRA., Cordeiro JG; Department of Neurological Surgery, University of Miami, Coral Gables, USA., Terzis JA; Department of Neurosurgery, Helios Universitätsklinikum Wuppertal, Wuppertal, DEU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 May 28; Vol. 15 (5), pp. e39592. Date of Electronic Publication: 2023 May 28 (Print Publication: 2023).
DOI:	10.7759/cureus.39592
Abstrakt:	The emergency room management of a patient with external signs of cranial trauma and imaging showing brain hemorrhage can be dangerously misleading. This case of a patient with glioblastoma could only be timely diagnosed because of cautious evaluation of imaging findings. A 60-year-old patient presented to the emergency room after being found down with external signs of cranial trauma and a reduced level of consciousness. Computed tomography revealed a right frontal polar cortical hemorrhage of around 12 mm diameter with no perilesional edema or contrast enhancement. Likewise, the MRI showed no contrast enhancement. Before the scheduled MRI follow-up was performed the patient became symptomatic leading to an earlier repeat that showed massive progression. She underwent surgical resection that revealed the lesion to be an aggressive glioblastoma. High suspicion of an underlying neoplastic lesion in atypical brain hemorrhage in trauma patients is paramount. Short MRI follow-up is recommended as soon as the hematoma resorbs to prevent delays with potential impact or patient outcome. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Piedade et al.)
Databáze:	MEDLINE
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