Patient, female, 47 years old, headache for more than 1 year, sudden convulsions 3 times

Neurosurgery"Basic Information"patients, female, 47-year-old"main complaint"headache for more than 1 year, sudden convulsions 3 times"current medical history"patients 1 year ago without obvious causes of headache, no nausea and vomiting, 1 year interruption 3 convulsions, for further hospital treatmentCheck body: general lying well, pupiland and other large, no strong, gram sign negativethe right prefrontal cortex and subcutaneous cortex of thesee a clump abnormal signal, the edge is not clear, T1WI is slightly lower signal Its internal visible bar high signal, T2WI is slightly higher signal, FLAIR is a higher signal, DWI lesions around a slightly higher signal, the center is a low signal, ADC lesions around a slightly higher signal, the center is high signal, enhanced scanning is obvious strip-reinforcedTheof Pathology Diagnosis
Thecases of intermorphic glioblastomathiscase are middle-aged women MR shows that the lesion site is on the screen, located in the frontal lobe T1WI is slightly lower signal, its internal visible bar high signal, T2WI is slightly higher signal, FLAIR is a higher signal, DWI lesions around a slightly higher signal, the center is a low signal, ADC lesions around a slightly higher signal, the center is a high signal, enhanced scanning is obvious strip-like reinforcement Therefore, it is necessary to take into account the tumor lesions of the frontal lobe Case Summary Tumors of the origin of less protogeneic glial cells are neuroepilated tumors, divided into less protrusive glioblastoma (WHO II) and interstitial variants of less protoplacytes (WHO III) Good hair age is 35 to 40 years old, no significant difference between men and women, originated in the white matter of the brain, the vast majority is located on the screen, and the frontal lobe is the most common, temporal lobe, tumor is easy to calcified In clinical practice, epilepsy and neurological dysfunction are the main manifestations Pathologically, the lesions have no envelope, soft quality, grayish-white, rich blood vessels around them, and can be identified on immunohistamytization imaging performance: CT lesions were mixed density shadow, edema was lighter On MRI T2WI is more high signal, T1WI is more than so low signal, T2WI, FLAIR is more high signal, DWI is slightly higher signal, visible cystic, bleeding signal, enhanced after strengthening different ways, can be light moderate or significantly strengthened This case of patients for middle-aged women, the medical history is sudden convulsions, with a suggestive effect, MRI on the performance of the prefrontal cortex and the subsurface of the precipitous lesions, edge blur, lesions are real, cyst sac change is not obvious, obviously strengthened uneven, T1WI visible high signal, presumably for calcification possible The possibility of intermorphic stoma is less sudden intermorphic glioblastoma shorter should be identified with glioblastoma, monoblastoma and lymphoma glioblastoma: the pathogenesis site is deeper, the enhancement is garland-like reinforcement, and there are many sub-cookers Single metastatic tumor: the original pathogenesis is very important, the tumor week is more not immersed, and interstitial less protrusive glioblastoma is more inlative growth, there are literature reports, metastatic limbo reinforcement edge area NAA/Cho ratio is high, while high-level glioma is significantly reduced; Lymphoma: common in the elderly, often located in the side ventricle and the body around the body, cell dense, DWI is limited dispersion, visible and uniform reinforcement, MRS visible LIP peak source: the image
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