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35 years old female had
lethargies with
enlargement of nose, lips, hands and feet. she has
history of 4 years absent of menses with headache. Brain
MRI show diffuse enlargement of pituitary glands with
suprasellar extension. Growth hormone is so high (19.7
ng/ml). surgical intervention was done with subfrontal
approach to excision of tumor. After surgery she return
back to normal activity.
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Brain MRI (coronary section) show
pituitary adenoma
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Brain MRI (sagital section) show
pituitary adenoma
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53 years old female
had sudden onset of tonic-clonic fit follow
by loss of her consciousness. Brain CT scan with MRI
show a mass occupying left temporal lobe. Total removal
with inferior temporal approach, left temporal lobe have
speech centre, during surgery and send the mass for
histopathology (low grade glioma). After surgery she has
talking and moving normally.
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Brain CT scan
a mass occupying left temporal lobe
Brain MRI (coronal view)
a mass occupying left temporal lobe
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Brain MRI (axial view)
a mass occupying left temporal lobe
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14 years old male
exposed to road traffic accident with avulsed scalp
before 5 year. Before 3 month he complain from a painful
swelling at right sided of his head with no response to
analgesia. Brain CT scan show soft tissue swelling with
bone erosion at right temporal region. Completely
excision of muscle and bone eroded with its margin was
done during surgery and send for histopathology. After
surgery the pain completely relieve.
Histopathology result showed a histiocytosis mass.
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Brain CT scan
soft tissue swelling at right temporal region
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Brain
CT scan
bone erosion at right temporal region
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young patient 19 years old
had a headache with right side
weakness.
Brain MRI showed right cerebellar mass (PFT). Posterior fossa
approach with complete excision of the mass done. Histopathologycal results show medulloblastoma,
he refused radiation.
The
patient completely freeing from any symptom for one
year, after that he became complain from repeated vomiting and right side
weakness.
Brain MRI showed recurrent tumour at the posterior
fossa. Urgent ventriculoperitoneal
shunt inserted
was done to decrease intracranial pressure. After 2
weeks re-exploration and complete
excision was done.
The
histopathologycal results show medulloblastoma nodylar
type. |
Brain MRI
showed PFT
Brain MRI
6-3-07
showed
recurrent PFT
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Brain MRI
postop. PFT disappear |
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35
years old female had a
Headache with visual deterioration for 3 months.
Repeated vomiting and inability to walk for one month.
Brain CT scan revealed a 7x4 cm mass at left frontal
region. Surgical intervention on 13-2-07 with very
vascular tumor and she received 9 pints of blood. The
mass removed completely
and sent for histopathology.
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Brain CT
scan without contrast |
Brain CT
scan with contrast |
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70
years old female had
a Headache for one year,
complete paralysis of left side of the body
and
weakness of the right side. Brain MRI showed anterior
foramen magnum mass severely compressing the junction
of brain stem and spinal cord. Total excision was done
on 11-2-07, and sent for histopathology.
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Brain MRI without contrast |
Brain MRI with contrast |
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65
years old male had
Right sided weakness for one month with headache. Brain
CT scan revealed a big right frontal mass. Operated on 4-2-07, total
left frontal lobectomy was done and sent for
histopathology. The result showed diffuse astrocytoma
grade 2.
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Brain CT scan
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Brain MRI with contrast |
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17
years old male had a headache with repeated vomiting for 3 months.
Brain CT scan showed a posterior fossa mass compressing
the fourth
ventricle causing hydrocephaly. Urgent
ventriculoperitoneal
shunt was done. The vomiting and headache
disappeared. After 2 weeks, total removal of posterior fossa mass.
The histopathology result revealed desmoplastic medulloblastoma.
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Brain CT scan before surgery |
Brain CT scan after surgery |
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25
years old male had complaining from generalized
tonic clonic attack of fit. He had history of meningitis in the first year
of his life. In last 6 months, he received medication
for submandibular tuberculosis. Brain MRI showed left
frontal
suprasylvien
mass. Subtotal excision was done, postoperatively
the patient became very well.
Histopathology revealed diffuse astrocytoma grade 2 ,so
he was sent for radiotherapy to complete his management.
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Brain CT scan |
Brain MRI T1 |
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12
years old male presented as scalp mass at right temporal area. Brain CT
scan revealed a bony erosion with soft tissue swelling.
Surgical total excision with removal of unhealthy bony
margin. Histopathology result showed a histiocytosis
mass.
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Brain CT scan bony defect |
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45
years old female had a headache for 2 years. In the last 6 months she developed right sided parasthesia
and numbness with visual deterioration
on the right eye. Brain MRI showed parasellar mass
engulfing the right optic nerve and optic chiasm with pressure on
the left optic nerve. Surgical intervention under
microscopical field was done on 18-12-06. Complete freeing of the right optic
nerve, right carotid artery and left optic nerve. She
was very well in the post operative period and her
vision improved gradually. Histopathological result
showed meningioma.
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Brain MRI tumour
engulf
right optic nerve and carotid artery |
Brain CT scan after surgery
disappear tumour
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70
years old female had one
year right sided weakness. Treated as cerebrovascular accident. In last one month she
became Unable
to speek. Brain CT scan showed left convexity meningioma. Surgery was done at 29-10-06 with complete
excision with dural base, dural graft use to close the
dural defect. In the 1st postoperative day she
started to have normal speech. In the 7th postoperative day, she was
discharged home with normal gait.
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Brain CT scan
left
convexity meningioma
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33 years old male had
4 months headache with vision deterioration,
and
hearing loss in the left ear. On examination,
bilateral papilledema with left sided facial palsy and
absent left corneal reflex . Brain CT and MRI scan
showed cerebellopontine angle tumor. Surgery was done with left sub occipital approach and debulking was done. On the 1st
postoperative day ,the patient was very well with
no more
headache and gradual improvement of his vision. Histopathology
result revealed schwannoma (a benign tumor with a very response
to gamma knife) ,so he was sent for gamma knife
for removal of ruminant part of the tumor.
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Brain CT scan |
Brain MRI |
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26 years old female had
severe backache for 4 months not responding to
medication. When she visited my private clinic, she was
severely ill with severe tenderness at dorsolumber
region. She had rapid response to steroid.
Dorsolumber
MRI showed extradural hyperintese lesion extend from
D11-D12. Dorsal laminectomy with complete excision of
mass was done on 15-5-06 histopathology revealed spinal
cord lymphoma. she was sent for chemotherapy. Frequent
postoperative MRI show complete resolution of the mass.
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MRI extradural hyperintese lesion extend from D11-D12
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11-1-07 MRI complete resolution |
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