Abstract
Background: Gliomas in the temporo–occipital region are challenging because of proximity to eloquent structures. In Vietnam, intraoperative neuronavigation and mapping are not always available. Case presentation: A 65-year-old male presented with progressive headache and blurred vision. MRI showed a right temporo–occipital mass (61 × 31 × 39 mm, 10 mm midline shift). DTI revealed corticospinal displacement and inferior fronto-occipital fasciculus involvement. He underwent right occipital craniotomy guided by anatomical landmarks, achieving near-total resection. Histopathology confirmed glioblastoma, IDH-wildtype, high Ki-67 index. Results: Postoperatively, the patient improved clinically without new neurological deficit and received adjuvant chemoradiotherapy (Stupp protocol). Conclusion: Maximal safe resection of temporo–occipital glioblastoma is feasible in low-resource settings with meticulous anatomical planning, microsurgical technique, and multimodal treatment.
| Published | 2026-06-28 | |
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| Issue | Vol. 16 No. 3 (2026) | |
| Section | Case Reports | |
| DOI | 10.34071/jmp.2026.3.719 | |
| Keywords | Glioblastoma, Temporo–occipital region, Maximal safe resection, Microsurgical anatomy, Resource-limited setting. U thần kinh đệm, Thái dương – chẩm, Cắt bỏ tối đa an toàn, Giải phẫu vi phẫu, Điều kiện hạn chế nguồn lực |
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