Neurosurgery & Cardiothoracic Surgery · NEET PG Preparation Surgery
A 54-year-old man presents with progressive headache, personality changes, and right-sided hemiparesis. MRI reveals a butterfly-like enhancing mass i…
Practice question from Neurosurgery & Cardiothoracic Surgery (NEET PG Preparation Surgery), with the correct answer and a step-by-step solution.
medium · MCQ · Q-89AE51
A 54-year-old man presents with progressive headache, personality changes, and right-sided hemiparesis. MRI reveals a butterfly-like enhancing mass in the corpus callosum with extensive surrounding edema and central necrosis. Which of the following is the most likely pathological diagnosis?
- A.Meningioma
- B.Glioblastoma multiformeCorrect answer
- C.Primary CNS lymphoma
- D.Schwannoma
Solution
Glioblastoma multiforme (GBM) is the most malignant astrocytic tumor (WHO Grade IV) and characteristically crosses the corpus callosum, presenting as a 'butterfly' glioma. It typically shows central necrosis, microvascular proliferation, and surrounding edema.
More from Neurosurgery & Cardiothoracic Surgery
- A 28-year-old male is brought to the emergency department following a high-speed motor vehicle collision. He was unconscious at the scene,…
- A 65-year-old man with a history of long-standing hypertension presents with sudden onset of the 'worst headache of his life', followed by…
- A 45-year-old woman presents with progressive bitemporal hemianopia and amenorrhea-galactorrhea. Serum prolactin levels are markedly elevat…
- A 60-year-old man undergoes coronary artery bypass grafting (CABG). On the third postoperative day, he develops sudden-onset severe shortne…
Practise more Surgery
Sign up free for adaptive practice on this chapter, with instant feedback and hints on every question.
Start practising freeFree to start · No credit card needed