Neurosurgery

Question 0

Hereditary hemorrhagic telangiectasia

Answer 0

syndrome resulting in AVMs that include nose in >95%, skin in >80%, GIT in 30%, lungs, liver 30% and brain. Elevated CRP in setting of intracranial ring enhancing lesion sensitive indicator of brain abscess.

Question 1

Management of ruptured intracranial aneurysm?

Answer 1

Endovascular coil embolization or open craniotomy/clip placement reduces the risk of re-bleeding.

Question 2

Treatment for symptomatic Chiari malformation and syringomyelia

Answer 2

Suboccipital craniectomy

Question 3

Next step if patient p/w right-sided hemiparesis and dilated nonreactive pupil on the left.

Answer 3

Suspect compression from the left side - transtentorial herniation as brain bulges out of cranium through the tentorial notch

FUNDOSCOPIC EXAMINATION for the presence of PAPILLEDEMA

Question 4

Neurological symptoms of sudden onset

Answer 4

The problem is vascular

Question 5

Neurological symptoms of sudden onset with no headache

Answer 5

Vasculo-occlusive

Question 6

neurologic symptoms of sudden onset with a headache

Answer 6

Vasculo-hemorrhagic