Paroxysmal dysphasia in a 68 year-old man: Enhancing the MRI Spectrum!

We describe a case of glioblastoma multiforme presenting as dominant temporal lobe epilepsy manifested as episodes of speech arrest on a background of long-standing history of episodic speech difficulty and headache. In this case, recognizing a change in semiology allowed diagnosis of a high-grade glioma. Use of electrocorticography during surgical excision of the tumor guided safe maximal excision without damage to eloquent cortex and helped confirm the diagnosis of tumor-related epilepsy.
Source: Epilepsy and Behavior Case Reports - Category: Neurology Source Type: research