Freiburg neuropathology case conference : : a 54-years-old patient with fatigue, headaches, and personality changes

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Abstract: A 54-year-old male patient presented with symptoms of fatigue, headaches and changes in personality. The neurological status on admission to hospital was unremarkable.

Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a large space-occupying bifrontal tumour. Due to the clinical symptoms and the space-occupying effect of the lesion, surgery was indicated.

The operation was performed under general anaesthesia with the patient in supine position and the head fixed in the Mayfield clamp. A bifrontal craniotomy was performed, revealing a partly exophytic tumour with destruction of the frontal calvarium. The dura was incised and the infiltrated superior sagittal sinus was ligated and cut. The reddish-beige tumour with a solid consistency could then be dissected from the frontal cortex and completely removed. The tumour-infiltrated dura was resected and a duraplasty with DuraGen patch and fibrin glue was performed. The infiltrated bone was also removed and a polymethyl methacrylate (PMMA) cranioplasty was inserted.

Postoperatively, the patient showed no new neurological deficits, the further postoperative course was unremarkable and the patient was discharged home on the 8th postoperative day

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch
Anmerkungen
Clinical neuroradiology. - 34, 2 (2024) , 515-521, ISSN: 1869-1447

Ereignis
Veröffentlichung
(wo)
Freiburg
(wer)
Universität
(wann)
2024
Urheber

DOI
10.1007/s00062-024-01419-x
URN
urn:nbn:de:bsz:25-freidok-2489745
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:55 MESZ

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