A 44-year-old woman with history of left temporal glioblastoma multiforme (GBM) presented with a generalized seizure and altered mental status. She had undergone surgical resection for the left temporal GBM 17 months ago with concurrent external beam radiotherapy and a 12-month cycle of temozolomide. Magnetic resonance imaging of the brain revealed a new right temporal lobe mass, while the original left temporal surgical site showed no sign of tumour recurrence (Fig. 1). MR spectroscopy of the new right tempo…
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