Craniotomy of Gliobastoma Multiforme: A Case Study: Difference between revisions
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== Abstract == | == Abstract == | ||
Glioblastoma multiforme (GBM) is an aggressive, rapid growing type of tumour located in the spinal cord or the brain. It is the most common type of primary malignant brain tumour in adults. Due to the rapid growth of the tumour, the average survival time is 12-18 months. Consequently, surgery is the primary treatment option, followed by chemotherapy and radiotherapy. | Glioblastoma multiforme (GBM) is an aggressive, rapid growing type of tumour located in the spinal cord or the brain. It is the most common type of primary malignant brain tumour in adults. Due to the rapid growth of the tumour, the average survival time is 12-18 months. Consequently, surgery is the primary treatment option, followed by chemotherapy and radiotherapy. | ||
Revision as of 22:56, 28 November 2021
Original Editor - Kalyani Yajnanarayan
Top Contributors -
Abstract[edit | edit source]
Glioblastoma multiforme (GBM) is an aggressive, rapid growing type of tumour located in the spinal cord or the brain. It is the most common type of primary malignant brain tumour in adults. Due to the rapid growth of the tumour, the average survival time is 12-18 months. Consequently, surgery is the primary treatment option, followed by chemotherapy and radiotherapy.
Client Characteristics[edit | edit source]
Client X is a 68 year old male admitted to the neuro-surgical ward on the 18/03/16 as an elective admission for a left craniotomy and excision of left parietal lesion (Gliobastoma Multiforme (GBM)). Client X lives with his partner in a double storey house. He is a retired laundry owner, however, occasionally does cabinet refinishing. Apart from the diagnosed GBM, he is generally fit and active. His hobbies include walking the dog twice a day and fishing. He is an ex-smoker (5 pack year) and has noise induced hearing loss and has had a right trigger finger release. He hasn’t had any recent falls and can walk unaided independently.
Examination Findings[edit | edit source]
Subjective[edit | edit source]
On subjective assessment, client x reported experiencing a unilateral (right side) facial droop which lasted for approximately 5-10 minutes. Since then, he has also experienced mild dysphagia and dysarthria.
Objective[edit | edit source]
Objectively, pre-op client X had full 5/5 strength on the oxford scale of manual muscle testing. He also demonstrated normal sensation on light touch and touch localisation and upper/lower limb reflexes. Coordination and proprioception also appeared normal on finger to nose/heel to shin and joint sense tests.
According to the post-op notes following his CT, client x had no complications during surgery, he had no haemorrhage, mild oedema around resection cavity, Pneumocephalus and as a result was on 5L O2 Hudsun mask and diagnosed with receptive dysphasia. On physio objective assessment, post-op client X exhibited a facial droop and had no other speech apart from yes or no answers.
Clinical Hypothesis[edit | edit source]
Intervention[edit | edit source]
Outcome[edit | edit source]
Discussion[edit | edit source]
References[edit | edit source]
https://www.braintumourresearch.org/info-support/types-of-brain-tumour/glioblastoma-multiforme
