Meena Rajesh, Doddamani Ramesh S, Chipde Harshad, Agrawal Deepak, Mahajan Swati, Chandra P S
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Department of Neuropathology, All India Institute of Medical Sciences, New Delhi, India.
Neurol India. 2021 Mar-Apr;69(2):470-474. doi: 10.4103/0028-3886.314559.
Multicentric gliomas are uncommon pathological entities, although well described in the literature. The aim of this study was to highlight the management issues in a rare case of multicentric glioma occurring in a bilateral temporo-insular region. A 35-year-old farmer with no comorbid illness presented with a history of progressively increasing holocranial headaches, intermittent episodes of vomiting, and memory disturbances from the last 3 months. Radiological findings were suggestive of multicentric glioma involving bilateral temporo-insular regions. Patient underwent tumor decompression first on the left side followed by the right side. Postoperative course was uneventful. Management of multicentric gliomas is challenging.
多中心胶质瘤是罕见的病理实体，尽管在文献中有充分描述。本研究的目的是强调一例发生在双侧颞岛叶区域的罕见多中心胶质瘤的治疗问题。一名35岁无合并症的农民，在过去3个月出现全颅进行性加重头痛、间歇性呕吐和记忆障碍。影像学检查结果提示双侧颞岛叶区域多中心胶质瘤。患者先接受左侧肿瘤减压，随后接受右侧肿瘤减压。术后过程顺利。多中心胶质瘤的治疗具有挑战性。
