Case #5
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Physical Exam
01/22/XX
38-year-old woman complained of lightheadedness, blurred vision, fatigue and confusion developing over last week with episodes of vomiting last two days.
X-Rays & Scans
01/22/XX
Head CT: Hypodense 3 cm mass L posterior thalamus extends across the midline, either within or just inferior to the corpus callosum in the lateral ventricles, compressing the third ventricle.
01/22/XX
Brain MRI: Lesion seen in L thalamus is most likely a glioma.
Operative Findings
01/23/XX
Stealth navigation biopsy and placement of VP (ventriculoperitoneal) shunt to treat obstructive hydrocephalus from L thalamic tumor.
Pathological Reports
01/23/XX
Brain biopsy left thalamic tumor: astrocytoma Grade 2-3
Treatment
03/01/XX
Radiation: Gamma knife radiosurgical treatment
03/11/XX
Radiation: Beam radiation treatment to whole brain started.



