Iddo Fellow Tut #3 Flashcards
1
Q
Best prognosis of someone with brain metastasis?
A
6-months to 1-year
2
Q
what factors affect survival of brain metastasis?
A
resectable?
How many?
Age and performance status?Kronofski
3
Q
Indication for removing a brain metastasis only?
A
systemic controlled.
CNS met. is not responding to systemic chemo.
Need CNS cure. Eg. HER2 positive breast ca met to brain
4
Q
reasons to operate brain mets?
A
control of unretractable seizures and epilepsy
5
Q
first sign of air embolus during neurosurg and drilling over sagittal sinus. How to treat?
A
drop in end-tidal CO2
Flood with saline/fluid.
6
Q
Types of enhancement?
A
ring enhancing
uniform-vividly enhancing
non-uniformly enhancing
7
Q
more or less oedema with mets or primary?
A
more oedema with mets usually.
