PMC7171641_01
Brain magnetic resonance imaging, axial (a) and coronal (b) views, shows a large mass within the left anterior and middle cranial fossae with rightward midline shift on the underlying brain parenchyma (subfalcine herniation).
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fig1
After acute worsening and persistence of symptoms including nausea, appetite loss, and vision blurriness, the patient underwent magnetic resonance imaging (MRI) of the brain, which demonstrated the expansive intracranial process as well as subfalcine herniation (Figure 1) due to increased intracranial pressure (ICP).
(a) Glioblastoma tumor shows high cellularity, cytological atypia, and necrosis. (b) Glial cell proliferation and vascular proliferation are present.
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fig2
Pathology analysis demonstrated a glioblastoma WHO grade IV (Figure 2).