Glioblastoma presenting only as cortical "ribbon sign" in the early stage: a case report
10.3760/cma.j.cn113694-20200722-00558
- VernacularTitle:早期仅表现为皮质“飘带征”的胶质母细胞瘤一例
- Author:
Jiping ZHAO
1
;
Chunxiao CUI
;
Chongfeng DUAN
;
Lei NIU
;
Xuejun LIU
Author Information
1. 青岛大学附属医院放射科 266555
- From:
Chinese Journal of Neurology
2020;53(9):710-714
- CountryChina
- Language:Chinese
-
Abstract:
Glioblastoma, which is the most common primary malignant brain tumor, usually occurs in the white matter of the brain. In this case, magnetic resonance imaging (MRI) only showed abnormal cortical signal in the first hospital examination, so he was diagnosed as viral encephalitis. Seven months later, he was admitted to hospital again because of memory loss and slow response. MRI showed obvious mass in the original lesion area. Pathology confirmed glioblastoma (the World Health Organization classification of central nervous system tumors: grade Ⅳ). By analyzing this case, it is considered that some glioblastomas may only have cortical lesions in the early stage. Therefore, if cortical abnormal signals are found, glioblastoma should also be included in the differential diagnosis.
