“…Males are more often affected, presenting with headaches and pyramidal dysfunction; with the thalamus and basal ganglia as frequent lesion locations. 2,3 .Tumefactive NBD is rare and has only been reported a handful of times. [2][3][4][5][6] Imaging in tumefactive NBD demonstrates areas of T2 hyperintensity and diffuse contrast enhancement suggesting edema; consistent with our patient's imaging.…”