Case 424 Enunciado A 71-year-old male patient presents to the doctor’s office complaining about recurrent falls, dizziness, muscle weakness and headache, which was initiated 4 months ago and has been progressively worsening. Hypertensive (using Amlodipine, 5 milligrams once a day), alcohol drinker and smoker since 14 years old. At the exam: alert, showing confused verbal response and slowed speech. Without focal neurological deficits. Ataxic gait and preserved muscle tone. A head MRI was requested. Image 1: Magnetic Resonance Imaging (MRI) of the brain, in axial cut, at the level of the middle cerebellar peduncles, T1-weighted, before (A) and after (B) administration of intravenous gadolinium.Image 2: MRI of the brain in coronal cut, T2-weighted.Image 3: MRI of the brain in axial cut, isotropic T2-weighted thin slices. Question:Based on the clinical history and MRI images, what is the most likely diagnosis? Acoustic neuroma Meningioma Epidermoid tumor Giant aneurysm Questão de Prova (Famed/UFU - 2016) Concerning WHO’s class I meningioma, which of the statements below is not true? Can have different histological types. It is most common among women. It often infiltrates brain tissue. The tumor is related to the dura mater. The cerebral convexity, close to the superior sagittal sinus, is a frequent location. Time is Up! Time's up
