Bitemporal Multicentric High Grade Gliomas: A Case Report

Abstract

Multicentric gliomas are aggressive and uncommon lesions of the central nervous system(CNS) . Multicentric high grade gliomas often have a distinct neuroimaging pattern with poor prognosis. These multicentric gliomas may be either metachronous or synchronous.We present a case of synchronous high grade multicentric gliomas involving the temporal lobes in a young patient who presented with mild symptoms and had no neurological deficits .He was operated for both the lesions and underwent radiotherapy for the same. Although it is difficult to diagnose and treat multicentric gliomas the aim of the surgeon must be to remove the largest and /or the nearest and most accessible lesion without causing additional neurological deficits. Further management, either radiotherapy or chemotherapy is based on the histopathological diagnosis.