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A 62-Year-Old Man Is Brought to the Emergency Department After

Question 420

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A 62-year-old man is brought to the emergency department after a new-onset, generalized tonic-clonic seizure.  His wife reports that for the past several weeks he has been having episodic headaches, nausea, and progressive weakness.  The headaches are particularly worse at night and occasionally awaken him from sleep.  His other medical problems include well-controlled hypertension and osteoarthritis.  On physical examination, the patient is postictal but follows simple commands.  He is admitted to the hospital for further evaluation but dies several days later due to aspiration pneumonia and septic shock.  A brain section obtained during postmortem examination is shown in the image below. A 62-year-old man is brought to the emergency department after a new-onset, generalized tonic-clonic seizure.  His wife reports that for the past several weeks he has been having episodic headaches, nausea, and progressive weakness.  The headaches are particularly worse at night and occasionally awaken him from sleep.  His other medical problems include well-controlled hypertension and osteoarthritis.  On physical examination, the patient is postictal but follows simple commands.  He is admitted to the hospital for further evaluation but dies several days later due to aspiration pneumonia and septic shock.  A brain section obtained during postmortem examination is shown in the image below.   This patient most likely had which of the following conditions? A) Brain metastasis B) Glioblastoma C) Meningioma D) Oligodendroglioma E) Primary brain lymphoma F) Schwannoma This patient most likely had which of the following conditions?


A) Brain metastasis
B) Glioblastoma
C) Meningioma
D) Oligodendroglioma
E) Primary brain lymphoma
F) Schwannoma

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