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Management of brain tumour

A 38 year old with paresis of left leg for 1 year, occasional headache, and convulsions x 2. MRI shows parietal lesion (2-3 cm). DDx GBM to rule out Brain abscess.
Treated with IV Ceftriaxone and Metronidazole for 6 weeks.
No improvement noted (Progressive lt leg weakness and convulsions x 1)

Repeat MRI/MRS
No significant change observed
Highly unlikely to be brain abscess
DDx - Low grade to intermediate grade glioma

What is current management of gliomas?
What is prognosis?

This discussion is related to glioblastoma multiformae.
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