Case 191

Medical history

27-year-old female patient has evolved over 3 months with progressive history of dismay, drowsiness and loss of appetite, accompanied by tension-type headache. She also presented alteration of memory and writing, reduced visual acuity and abnormal wind chill, incompatible with the environment. No changes in the menstrual cycle. It was performed a Magnetic Resonance Imaging (MRI) of the head (below).

Considering the clinical and imaging studies presented, which is the most likely diagnosis?

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