including high resolution figures, can be found at:

A 67-year-old man with a history of recurrent glioblastoma multiforme was admitted with the sudden onset of myoclonic jerks, rigidity, and altered mental status. An MRI of the brain (figures 1 and 2) showed recurrence at the primary tumor site, with extensive leptomeningeal, ependymal, and subependymal metastases.1,2 The patient was transferred to hospice service and died 3 weeks later. An autopsy was not performed. 1. Scherer HJ. The forms of growth in gliomas and their practical signifi-cance. Brain 1940;63:1–35. 2. Thorsen F, Tysnes BB. Brain tumor cell invasion, anatomical and biolog-ical considerations. Anticancer Res 1997;17:4121–4126. Address correspondence and reprint requests to Dr. Martin Begemann, Ma