Neurosurgical approach for Glioblastoma

History

A 55 year old male suffered from Glioblastoma was admitted to Beijing Puhua International Hospital with the following complaints: progressing headache, nausea and vomiting for three months.

Medical condition before neurosurgery for Glioblastoma

The patient had suffered progressing headaches, nausea and vomiting without a known cause for the previous three months. He had projectile vomiting. He did not receive diagnosis or treatment before coming to Beijing Puhua International Hospital.

Patient was admitted at Beijing Puhua International Hospital via ambulance. He was alert, with a low voice, and grade III-IV myodynamia of his right upper and lower extremities. Pathological reflexes were positive on the right side of his body, and his daily life was not independent.

Cerebral MRI revealed that there was unequally enhancing mass deep in the region of left temple. This mass was surrounded by edema/swelling. It was considered to possibly be a glioma of grade III – IV.

Neurosurgical approach for Glioblastoma

A resection via the frontal-temporal approach was performed. It was an arcuate incision. It was discovered that he had relatively high pressure on his brain tissue. The mass was debunked by segmental resection. Surrounding the lesion, there was peripheral edema. The surgery for Glioblastoma required four hours.

Medical condition after neurosurgery for Glioblastoma

No postoperative complications occurred. The incision healed well. Two weeks after surgery, Patient was discharged to his local hospital to undergo radiotherapy and chemotherapy.

Seven months after surgery, a repeat cerebral MRI revealed no progression of the tumor. The cerebral ventricles were slightly enlarged. The headache, nausea and vomiting symptoms disappeared. There was also an improvement of the myodynamia of the extremities. He was again able to walk by himself. Patient was very happy to be again almost independent in his daily life.

Pre surgery scan

Surgery

Post surgery scan