CLINICAL NEUROLOGY - Brain Tumors/Lesions

Question 1

Effective antidepressant in patient with brain tumor?

Answer 1

Methylphenidate

Question 2

Most common psych symptom in brain tumor survivors?

Answer 2

Anxiety

Question 3

Child seen walking with stooped posture, small paces, less arm swing - has a hard time starting and stopping walking on request. Brain lesion in what region likely responsible?

Answer 3

Basal ganglia

Question 4

Young child with emotional outbursts,
labile affect - incongruent with speech, speech with variable rhythm/intensity,
brisk gag reflex - associated crying and coughing, dysphagia with normal pharyngeal exam. Diagnosis?

Answer 4

Pseudobulbar palsy

Question 5

Area of brain affected in an adolescent with new onset episodes multiple times a week, lasting 30-60 seconds, of vocal tics, bilateral complex movements, aggressive, impulsive, with previous head CT negative, yet otherwise asymptomatic between episodes?

Answer 5

Frontal Lobe

Question 6

Child presenting with poor upward gaze, lid retraction, convergence nystagmus, and pupils that accommodate but have poor reaction to light. Brain region where tumor is likely?

Answer 6

Pineal Gland