TY - JOUR AU - Taschner, C. A. AB - Clinical Neuroradiology https://doi.org/10.1007/s00062-023-01359-y CLINICAL CASE Headache, Mental Confusion and Mild Hemiparesis in a 68-year-old Patient 1,4 2,4 3,4 1,4 2,4 1,4 2,4 M. Frosch ·T.Demerath ·C. Fung ·M.Prinz ·H. Urbach ·D. Erny · C.A.Taschner Accepted: 11 October 2023 © The Author(s) 2023 Keywords Glioblastoma · Gliosarcoma · Cerebral metastasis · Primary CNS lymphoma · Pleomorphic xanthoastrocytoma Case Report could only be started with a reduced dose of cytarabine and without methotrexate. The chemotherapy was well toler- A 68-year-old female was admitted to the emergency de- ated. No tumour recurrence has been detected in the regular partment due to headache, mental confusion and a mild follow-up MRIs to date. hemiparesis on the left side in October 2021. Her medical history revealed dilatative cardiomyopathy, arterial hyper- tension and nicotine abuse but no known malignancy. Clini- Imaging cal evaluation yielded a hemiparesis on the left side grade 4 according to the Medical Research Council (MRC) scale. The MRI showed a large space-occupying intra-axial lesion Magnetic resonance imaging (MRI) was performed and of the right temporal lobe (Figs. 1, 2 and 3). On the fluid- showed a right temporal mass lesion with perifocal edema. attenuated inversion recovery (FLAIR) images the lesion The case TI - Freiburg Neuropathology Case Conference JO - Clinical Neuroradiology DO - 10.1007/s00062-023-01359-y DA - 2023-12-01 UR - https://www.deepdyve.com/lp/springer-journals/freiburg-neuropathology-case-conference-VoAiDFF7WP SP - 1159 EP - 1164 VL - 33 IS - 4 DP - DeepDyve ER -