Don't Worry, It's All In Your Head!

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Don't Worry, It's All In Your Head! - Page #3

Lab Studies: He was sent to the emergency department for further workup and evaluation. A complete blood count, comprehensive metabolic panel, magnesium level, and thyroid stimulating hormone were normal. Urine toxicology testing was negative. Other Studies: An MRI brain with and without contrast demonstrated an enhancing complex cystic and solid mass in the left cerebellar hemisphere, measuring 18mm, along with mild hydrocephalus. Case Photo #1 Case Photo #2 These findings were concerning for a pilocytic astrocytoma. A CTA head and neck demonstrated no large vessel occlusion or vascular malformation. The cerebellar mass was favored to be a pilocytic astrocytoma based on imaging findings. Pathology results following neurosurgical resection of the mass came back as hemangioblastoma. Consultations: Neurosurgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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