Neurosurgery

Question 0

What is the best next step in management for a patient with suspected brain abscess?

Answer 0

Contrast enhanced head CT– And MRI reveal a ring enhancing lesions usually at the gray white interface with surrounding edema

Question 1

CT demonstrates contusions to frontal lobes. Management?

Answer 1

Observation and administration of anticonvulsive medication for one week

Question 2

How do brain abscesses form?

Answer 2

Contiguous spread from adjacent structures or hematogenous spread from a distance site., Sites of infection include paranasal sinus infection, dental carries, ear infection

Question 3

37-year-old man struck in the side of that by golf ball. Conches and talkative after the injury, but several days later notices increasing lethargy, confusion, unable to move his right side.

Answer 3

Subdural hematoma

Epidural hematoma will result in a period of unconsciousness