Giant cell glioblastoma multiforme presents as acute pathological nontraumatic subdural haematoma

We describe a case of giant cell glioblastoma multiforme (GBM) that presented with a non-traumatic acute subdural haematoma (NASDH). A 57-year-old male had a sudden onset headache and rapid deterioration in conscious level with Glasgow Coma Scale (GCS) of 5 and dilated unreactive left pupil. CT of t...

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Bibliographic Details
Published in:British journal of neurosurgery 2023-10, Vol.37 (5), p.1-1162
Main Authors: Al-Mousa, Alaa, Al-Dwairy, Salem, Dajani, Nina, Sami, Rawan, Shtaya, Anan
Format: Article
Language:English
Subjects:
Brain cancer
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Summary:We describe a case of giant cell glioblastoma multiforme (GBM) that presented with a non-traumatic acute subdural haematoma (NASDH). A 57-year-old male had a sudden onset headache and rapid deterioration in conscious level with Glasgow Coma Scale (GCS) of 5 and dilated unreactive left pupil. CT of the head revealed a left acute subdural haematoma with mass effect and a left parietal lesion. Our literature review revealed that glioblastoma presenting as an acute subdural haematoma is extremely unusual. To our knowledge, we report the second case. We propose an invasion of the arachnoid and cortical veins by the aggressive tumour as a possible underlying mechanism.
ISSN:0268-8697
1360-046X
DOI:10.1080/02688697.2020.1866747