1 |
Male |
50 years |
Confusion, headache, vomiting and visual deficits of the lower right quadrant, dyslexia |
Left occipital |
MRI: 75 x 50 mm lesion with minor contrast enhancement |
Biopsy |
Steroids |
17 |
Stable. Minor residual visual impairment. |
Inconclusive |
AL‐κ |
Clonality |
2 |
Male |
35 years |
Intermittent headache, right leg paresis |
Left pre‐central |
CT and MRI: subcortical 20 x 15 mm lesion with contrast enhancement and minor perifocal edema |
Biopsy |
Anticonvulsants |
180 |
Stable. Epileptiform activity on EEG. |
Inconclusive |
AL‐λ |
Not evaluable |
3 |
Female |
49 years |
Seizures |
Right frontal |
MRI: 58 x 49 x 35 mm lesion with inhomogeneous contrast enhancement |
Gross total resection |
Anticonvulsants |
11 |
Stable. Epileptiform activity on EEG. |
Inconclusive |
AL‐λ |
Clonality |
4 |
Female |
53 years |
Seizures, left homonymous hemianopsia, hemiparesis and numbness of left hand and foot |
Right parieto‐occipital |
PET‐MRI: 66 x 38 x 31 mm right parieto‐occipital lesion with inhomogeneous contrast enhancement. Multiple additional smaller lesions. |
Partial resection |
Steroids |
24 |
Stable. Minor residual left‐sided hemiparesis, dysphagia and visual impairment. |
Inconclusive |
AL‐λ |
Clonality |
5 |
Female |
52 years |
Seizures |
Right temporal |
CT and MRI: 35 x 22 x 25 mm lesion with contrast enhancement. Focal calcifications and minor perifocal edema |
Partial resection |
Steroids, anticonvulsants |
71 |
Stable. No further seizures. |
AL‐λ |
AL‐λ |
Clonality* |
6 |
Female |
49 years |
Depression, frontal lobe disorder, seizures, numbness of the right half of the body |
Left frontal |
CT and MRI: 50 x 50 x 35 mm lesion with inhomogeneous contrast enhancement, midline shift, perifocal edema |
Biopsy |
Steroids, radiation (20Gy) |
21 |
Stable. Minor residual numbness and spasticity. |
AL‐λ |
AL‐λ |
Clonality |
7 |
Male |
52 years |
Vertigo |
Right thalamus |
MRI: 15 x 13 x 12 mm thalamic lesion with midline shift |
Partial resection |
None |
4 |
Stable. No symptoms. |
Inconclusive |
AL‐λ |
Clonality |