Neuro-oph Case 5: Case Continued…

Neuro-oph Case 5 Index

Answer: The visual field finding is consistent with a right superior homonymous quadrantanopia.  

You order an MRI brain and orbits, which shows the following:


The radiology report reads:
“MRI brain: There is a heterogeneous mass in the lateral aspect of the left temporal lobe with mild vasogenic edema.”

What’s the most likely diagnosis? Pick 1 before scrolling down.
Early onset Alzheimer’s dementia
Creutzfeldt-Jakob disease
Temporal lobe glioblastoma
HSV encephalitis
PCA infarct
MCA infarct
Vitamin B12 deficiency
Acoustic neuroma
Vascular dementia
Vertebrobasilar insufficiency

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Neuro-oph Case 5 Index

Neuro-oph Case 5: Introduction
Neuro-oph Case 5: Physical Exam