BACKGROUND: In most cases, @entity463 are associated with @entity410 , @entity10 , @entity51 , @entity2026 , or @entity548 . But these @entity5 are rarely associated with @entity385 and never so deadly. CASE REPORT: A 40-year-old @entity1 presented with sudden morning @entity2026 . One hour later, he developed a @entity51 at right upper member, quickly completed with a total right @entity1158 . Imaging studies revealed a left frontotemporal enhancing @entity463 with a perilesional @entity4 which produced an important mass effect on the posterior arm of the external capsule, on the primary motor cortex posteriorly and the entire sylvian valley anteriorly. Due to major surgical risks associated with @entity2500 and large @entity4 , we decided to postpone the @entity5 removal and introduce quickly high concentrations of @entity230 . Twenty-four hours after his admittance, the @entity1 presented a @entity1662 , @entity772 , and a left @entity5564 . A brain magnetic resonance image (MRI) revealed a left @entity2500 , deadly for the @entity1 . CONCLUSION: To our knowledge, @entity463 complicated by fatal @entity385 have not been reported. We discuss the pathology of such an event and try to figure out if it was predictable based on MRI finding, and inevitable with precocious surgery.

@entity463 complicated by fatal malignant acute XXXX : MRI finding to assist in tricky surgical decision.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity1158 :: ('MESH:D006429', 'Disease') :: ['hemiplegia'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizures'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity2500 :: ('MESH:D020244', 'Disease') :: ['malignant MCA infarction', 'left middle cerebral artery (MCA) inclusion'] @entity5564 :: ('MESH:D015878', 'Disease') :: ['mydriasis'] @entity772 :: ('MESH:D003128', 'Disease') :: ['coma'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficits', 'motor deficit'] @entity2026 :: ('MESH:D001037', 'Disease') :: ['aphasia', 'isolated aphasia'] @entity230 :: ('MESH:D013256', 'Chemical') :: ['steroids'] @entity1662 :: ('MESH:D003244', 'Disease') :: ['sudden impaired consciousness'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headaches'] @entity463 :: ('MESH:D005909', 'Disease') :: ['glioblastoma', 'glioblastomas'] @entity385 :: ('MESH:D002544', 'Disease') :: ['cerebral infarction', 'ischemic stroke']
@entity385 :: (MESH:D002544,Disease) :: ['ischemic stroke']
