The conversation between human and AI assistant.
[|Human|] My wife was diagnosed with GBM IV in 2008. She underwent an operation followed by 60 fractions of radiation and 12 cycles of chemo and immunotherapy (temozolomide and nimotuzumab). In Jan 17 the tumor has reoccurred extensively as seen from MRI. Docs have ruled out operation due the size as also Radiation. She was advised Stereotactic Biopsy. After the biopsy her left side is paralyzed. Is this temporary or permanent. What is the treatment. Also what will be the prognosis for the tumor. Her age is 48, wt 75 and physiologically healthy.
[|AI|]  Hi, Usually, a biopsy may not cause palsy unless there is an injury to the internal capsule or its blood supply during biopsy, which can lead to palsy. MRI brain, clinical examination may give clue where the problem is. Please do physical therapy, carotid Doppler, complete blood picture. Please consult your euro physician, he will treat it as cerebrovascular stroke or brain edema related ischemia or malignancy related space occupying lesion leads to palsy. Hope I have answered your query. Let me know if I can assist you further. 
