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Exam questionKROK 2Medicine · 2019

A 30-year-old man was brought to the neurosurgical department with complaints of constant headaches, nausea, vomiting, fever, and weakness of the right-side limbs. Anamnesis states that one month ago the patient had surgery for left-sided suppurative otitis and mastoiditis. He has been undergoing treatment in an ENT department. Approximately 2 weeks ago the temperature increased, and the patient developed headaches. Objectively: heart rate – 98/min., BP-140/90 mm Hg, temperature – 38.3°C. Neurologically manifested stiff neck: bilateral Kernig’s symptom. unsteadiness during the Romberg’s maneuver. Computer tomography of the brain revealed a three dimensional growth with a capsule in the left hemisphere. Make the diagnosis:

Answer options

  1. Arnold-Chiari malformation
  2. Cerebral abscess
  3. Echinococcus
  4. Hemorrhage
  5. Hydrocephalus
Correct answer

Cerebral abscess

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