Headache And Right Arm Weakness


Consult Page

70M new mass on CT

Initial Imaging

Figure 14.1, An axial head CT without contrast demonstrates a large left fronto-parieto-occipital hypodensity with surrounding edema. There is minimal midline shift.

Walking Thoughts

  • What is the patient’s neurological exam? Does he have decreased mental status or any associated neurological deficits?

  • How long has the patient had symptoms, and have the symptoms changed recently?

  • Has the patient had any seizures?

  • Does the patient have a history of other malignancies?

  • Does the patient need surgical intervention? If so, what is the timing of surgery?

  • Does the patient have medical comorbidities which may make surgery risky (e.g. pacemaker, heart failure, severe chronic obstructive pulmonary disease)?

  • Does this patient need to be admitted?

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