Bilateral and symmetric thalamic glioma

Case contributed by Bianca Larissa Pereira , 6 Feb 2019
Diagnosis certain
Changed by Bianca Larissa Pereira, 7 Feb 2019
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Case Attributes

Status changed from draft to pending review.
Body was changed:

The exam show a bilateral and symmetric expansive/infiltrative thalamic mass, with a hyperintense signal in T2 / FLAIR, intermediate in T1 and no diffusion restriction or important impregnation of contrast, this findings with the symptoms strongly suggests the diagnosis of thalamic glioma.

Bilateral thalamic glioma is extremely rare, with few cases descritos na literature. The sympyoms included personality change, confusion, memory loss, apathy, emotional lability, and dementia.

The histology type of bilateral thalamic glioma is variable with a predilection for low-grade astrocytoma ( World Health Organization grade II). This patient was diagnosed with anaplastic astrocytoma, as show by the biopsy result.

As the prognosis of bilateral thalamic gliomas is poor and rapid fatal evolucion has been observed in some other cases, the family opted for non-invasive treatment.

  • -<p>The exam show a bilateral and symmetric expansive/infiltrative thalamic mass, with a hyperintense signal in T2 / FLAIR, intermediate in T1 and no diffusion restriction or important impregnation of contrast, this findings with the symptoms strongly suggests the diagnosis of thalamic glioma.</p><p>Bilateral thalamic glioma is extremely rare, with few cases descritos na literature. The sympyoms included personality change, confusion, memory loss, apathy, emotional lability, and dementia.</p><p>The <span style="-webkit-text-stroke-width:0px; background-color:transparent; color:rgb(51, 51, 51); cursor:text; display:inline !important; float:none; font-family:open sans,sans-serif,arial,verdana,trebuchet ms; font-size:13px; font-style:normal; font-variant:normal; font-weight:400; letter-spacing:normal; line-height:20.8px; orphans:2; text-align:left; text-decoration:none; text-indent:0px; text-transform:none; white-space:normal; word-spacing:0px">histology </span>type of bilateral thalamic glioma is variable with a predilection for low-grade astrocytoma ( World Health Organization grade II). This patient was diagnosed with anaplastic astrocytoma, as show by the biopsy result.</p><p>As the prognosis of bilateral thalamic gliomas is poor and rapid fatal evolucion has been observed in some other cases, the family opted for non-invasive treatment.</p>
  • +<p>The exam show a bilateral and symmetric expansive/infiltrative thalamic mass, with a hyperintense signal in T2 / FLAIR, intermediate in T1 and no diffusion restriction or important impregnation of contrast, this findings with the symptoms strongly suggests the diagnosis of thalamic glioma.</p><p>Bilateral thalamic glioma is extremely rare, with few cases descritos na literature. The sympyoms included personality change, confusion, memory loss, apathy, emotional lability, and dementia.</p><p>The histology type of bilateral thalamic glioma is variable with a predilection for low-grade astrocytoma ( World Health Organization grade II). This patient was diagnosed with anaplastic astrocytoma, as show by the biopsy result.</p><p>As the prognosis of bilateral thalamic gliomas is poor and rapid fatal evolucion has been observed in some other cases, the family opted for non-invasive treatment.</p>

Updates to Study Attributes

Modality was set to Pathology.
Findings was added:

Anaplastic astrocytoma ( World Health Organization grade III) was the result of the biopsy.

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