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A 39-year-old man was admitted in 2009 following epileptic seizure and visual impairment. MRI revealed an expansive and infiltrative lesion in the right parietooccipital lobe with a cortico-subcortical localization. This… Click to show full abstract
A 39-year-old man was admitted in 2009 following epileptic seizure and visual impairment. MRI revealed an expansive and infiltrative lesion in the right parietooccipital lobe with a cortico-subcortical localization. This lesion was hypointense in T1-weighted images and showed no contrast enhancement. Methionine (MET-PET) revealed high methionine uptake in this lesion. Partial surgical resection was performed. There was no adjuvant therapy. MRI showed progression in 2014 but the patient refused any treatment. In 2017, MRI showed areas of enhancement (Figure 1A) and MET-PET revealed heterogeneous increased metabolic uptake, findings consistent with progression. A second surgery was done.
Journal Title: Brain Pathology
Year Published: 2019
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