Anamnesis

Identification:

Sex/Age: Male, 58 years

Medical History: Controlled hypertension, smoking (30 pack-years)

Family History: No cases of neoplasms or chronic headaches

History of Present Illness (HPI):

Progressive headache for 8 weeks

Characteristics:

Location: Bilateral frontal and occipital

Character: Constant pressure

Intensity: 7/10 (VAS)

Worsens at night and upon waking

Aggravated by Valsalva maneuvers

Associated Symptoms:

Morning nausea

Progressive blurred vision

Unintentional weight loss of 5 kg in the last month

Physical/Neurological Examination:

Right central facial paresis

Bilateral papilledema

Extensor plantar reflex on the right

Ataxic gait

Complementary Exams:

Cranial MRI: Heterogeneous expansive lesion in the left frontal lobe (3.5 cm) with mass effect and vasogenic edema

Biopsy: Glioblastoma multiforme (WHO grade IV)

Report this case — e.g. suspected re-identification risk.