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A 60 yo woman is involved in a motor vehical accident in which she sustains head trauma. Aside from some minor bruising of the forehead, her physical exam is unrevealing and includes a nonfocal neurologic exam. Routine imaging reveals a9mm calcified lesion. What is the most likely diagnosis? |
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What is the most common tumor of the brain? |
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What are symptoms of meningioma? |
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Definition
progressive headache or focal neurologic deficit reflecting location of the tumor. |
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How do you diagnose Meningioma? |
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Definition
CT or MRI of the head will show partially calcified homogeneously enhancing extra-axial mass adherent to the dura |
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What brain tumor shows calcification near the pineal gland and may cause bitemporal hemianopsia in children? |
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What is the treatment for Meningioma? |
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Definition
Surgical resection for large or symptomatic tumors. Observation with serial scans for small or asymptomatic lesions. |
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Definition
Astrocytoma, oligodendrogliomas, mixed gliomas, ependymomas. |
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What are the symptoms/Exam for glial tumors? |
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Definition
Headache, can awaken pt from sleep and induce vomiting. HA worsens with valsalva maneuver. CT: diffusely infiltrating MRI: Increased T2 signal |
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What are symptoms/Exam for Glioblastoma multiform? |
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Definition
Unifocal and centrally necrotic enhancing lesion wiht surrounding edema and mass effect. |
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How do you diagnose glial tumors? |
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Definition
Biopsy is required for definitive diagnosis. |
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How do you treat glial tumors? |
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Definition
Surgical resection followed by external beam radiation. |
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