USMLE Forum Archives - USMLE Step 3 - Neuro-MVA
Neuro-MVA
harry206 - 02-18-10 23:06
A 60-year-old woman is evaluated in the emergency department 1 hour after a motor vehicle accident. She had a whiplash-type injury and struck her head on the steering wheel but did not lose consciousness. She now has a generalized headache and cervical spine tenderness.
Neurologic examination is normal. A plain radiograph of the cervical spine is normal. CT scan of the head shows a 1-cm calcified, dural-based lesion overlying the right frontal convexity consistent with meningioma. With contrast administration, there is homogeneous enhancement. There is no associated mass effect or brain edema.
Which of the following is the most appropriate next step in management?
harry206 - 02-18-10 23:06
A 60-year-old woman is evaluated in the emergency department 1 hour after a motor vehicle accident. She had a whiplash-type injury and struck her head on the steering wheel but did not lose consciousness. She now has a generalized headache and cervical spine tenderness.
Neurologic examination is normal. A plain radiograph of the cervical spine is normal. CT scan of the head shows a 1-cm calcified, dural-based lesion overlying the right frontal convexity consistent with meningioma. With contrast administration, there is homogeneous enhancement. There is no associated mass effect or brain edema.
Which of the following is the most appropriate next step in management?
The correct answer and explanation will be available after you answer.
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#2
Re: Neuro-MVA conym5 - 02-19-10 08:56 My answer is: b.
Repeat neuro imaging in 3 to 6 months , if still persisting abnormalities then do CT, MRI of brain followed by biosy and if its turn out into any tumor, then surgery, radio therapy..
#12
Re: Neuro-MVA babbu5508 - 08-31-10 11:42 My answer is: a.
surgical resection holds excellent prognosis in the commonest brain tumours ..the meningiomas and to be done before harmful effects are caused...
#15
Re: Neuro-MVA vishalsheth - 09-03-10 09:13 My answer is: b.
CALCIFICATION IS INDIACTING CHRONIC lesion. ..patient is asymptomatic seems like that ...so just wait and watch..i will go for answer b
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