A 65-year-old man came in for headache, seizures, and confused speech. He would say a lot of words that didn’t make sense. He also slept a lot more than before (“tulog nang tulog”), especially during daytime. Brain MRI showed a tumor in the left temporal area, most likely a glioblastoma multiforme (GBM), a malignant and aggressive type of brain tumor. 

The patient underwent surgery to remove the tumor. He tolerated the surgery well and went home after a few days. The biopsy result was GBM, so he underwent further treatment in the form of chemotherapy and radiation therapy.