MRCP-1 & MRCP-2 WRITTEN…
Neurology:
Acute Cerebellar Stroke:
Dear Dr., Listen to the following Lectures and go through the Question on this topic:
Explanation
The sudden onset suggests a vascular cause and the rapid worsening with drowsiness suggests an expanding space-occupying lesion with rising intracranial pressure and risk of herniation. The description is classic for a cerebellar haemorrhage which, by its location in the posterior fossa, causes this clinical scenario. It is a neurological emergency, requiring rapid identification.
Question 1
A 65-year-old woman presented with a 12-hour history of the sudden onset of gait unsteadiness, vomiting and headache, followed by increasing drowsiness.
What is the most likely diagnosis?
Question 1
A: acute cerebellar haemorrhage
B: acute subdural haemorrhage
C: frontal subdural empyema
D: herpes simplex encephalitis
E: pituitary apoplexy