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Streaming hypointensity in hemorrhagic glioblastoma multiforme. An illustrative case
R L Ragland1, L D Wagner, Y P Huang
1Department of Radiology, University of Massachusetts Medical Center, Worcester.
Abstract:
The computed tomography, the magnetic resonance and the angiographic features of a patient with the unusual findings of multicentric intraparenchymal, subependymal and intraventricular hemorrhage in association with glioblastoma multiforme are presented. The utility of MR in demonstrating an irregular, streaming pattern of hypointensity within the lesion (and thereby suggesting an underlying neoplasm) is briefly discussed.
Insights
This case report details a patient with glioblastoma multiforme presenting with unusual multicentric hemorrhages. Magnetic resonance imaging (MRI) proved useful in identifying lesion characteristics suggestive of a neoplasm.
Area of Science:
- Neurology
- Radiology
- Oncology
Background:
- Glioblastoma multiforme is an aggressive primary brain tumor.
- Hemorrhage can occur in brain tumors, but multicentric patterns are rare.
Observation:
- A patient presented with computed tomography (CT), magnetic resonance (MR), and angiographic findings.
- Unusual findings included multicentric intraparenchymal, subependymal, and intraventricular hemorrhage.
Findings:
- The magnetic resonance imaging (MRI) demonstrated an irregular, streaming pattern of hypointensity within the lesion.
- This pattern is suggestive of an underlying neoplasm, specifically glioblastoma multiforme.
Implications:
- This case highlights the importance of advanced imaging in diagnosing rare presentations of glioblastoma.
- Understanding imaging features aids in early detection and treatment planning for complex brain tumors.