A 69-year-old man presented to our hospital with an acute aphaisa. The patient had experienced headaches 27 months before this presentation and a magnetic resonance image (MRI) had been normal at that time. After a normal unenhanced head computed tomography (CT) scan was obtained, he received intravenous tissue plasminogen activator (t-PA) within 2 hours of the onset of his symptoms. The patient gradually improved, but on day 13, post t-PA-increased somnolence was noted. A repeat head CT scan showed acute hydrocephalus and a mass. The tumor did not respond to radiation treatment and the patient died 39 days after the initial presentation.
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