Publication: Bilateral thalamic anaplastic glioma : Case report
Abstract
Bu yazida bilateral talamik anaplastik gliom yazarlar tarafından bildirilmektedir. 54 yaşında erkek hasta artış gösteren kişilik bozukluğu ve baş ağrısı sebebi ile polikliniğe başvurdu. Yapılan kranial bilgisayarlı tomografi ve kranial magnetik rezonans sonucunda bilateral talamik lezyonlar saptandı. Hastaya MR Spectroscopy yapıldı ve artmış kolin ve kreatinin piki görüldü ve glial tümör tanısı koyuldu. Hastaya stereotaktik beyin biopsisi yapıldı. Patoloji sonucu grade III anaplastic astrositom olarak bildirildi (World Health Organisation Classification 1993). Hasta radyaterapi alması için refere edildi. Talamik Gliomlar nadir tümörlerdir ve talamik anaplastik gliomlar daha az bildirilmiştir. Cerrahi tedavi bölgenin elegan oluşundan sınırlıdır ve stereotaktik biopsi ile tanı koyulup radioterapi yapılması günümüzdeki tedavi yöntemidir.
The authors report on patient with bilateral thalamic anaplastic glioma. A 54-year-old man was presented with headache and gradually increasing personality changes. Computed tomography and Magnetic Resonance (MR) of the brain demonstrated bilateral thalamic lesions. MR Spectroscopy of the thalamic lesions showed an increased Choline and creatinin peak and glial tumor was diagnosed radiologically. Stereotactic brain biopsy was performed. Pathological examination revealed anaplastic astrosytoma grade III (World Health Organisation Classification 1993). Patient was referred to radiation therapy. Gliomas of the thalamus are rare and Bilateral Thalamic Anaplastic Gliomas are less defined. Surgical treatment is limited since eloquency of the region and stereotactic biopsy is necessary. The choice of the treatment is radiotherapy.
The authors report on patient with bilateral thalamic anaplastic glioma. A 54-year-old man was presented with headache and gradually increasing personality changes. Computed tomography and Magnetic Resonance (MR) of the brain demonstrated bilateral thalamic lesions. MR Spectroscopy of the thalamic lesions showed an increased Choline and creatinin peak and glial tumor was diagnosed radiologically. Stereotactic brain biopsy was performed. Pathological examination revealed anaplastic astrosytoma grade III (World Health Organisation Classification 1993). Patient was referred to radiation therapy. Gliomas of the thalamus are rare and Bilateral Thalamic Anaplastic Gliomas are less defined. Surgical treatment is limited since eloquency of the region and stereotactic biopsy is necessary. The choice of the treatment is radiotherapy.