Case Detail

History: A 73 years old woman with a history of vertebral fracture for which she was followed from 4 years ago. She is now presented with left-sided hemiparesis from one month ago and she is wheelchair-bound for it.

Question: Do you suggest surgery for this patient? If so, what is the best approach? Do you recommend to operate the brain tumors for the first step, or approach to the spinal pathologies or approach to all pathologies at the same time?

submit opinion

Name	Date	Opinion	Result
Keyvan Tayebi Meybodi	7/18/2021	There is no information regarding the facial palsy in the history or exam. Moreover, there is no data on lower limbs reflexes (on both sides). If there is no facial palsy and no right side lower limb upper motor neuron lesion on exam, surgery of the intracranial tumor is the the first priority. Otherwise, surgery of the lower lesion is of much use.	Surgery
A.R Mohsenian Sisakht	7/19/2021	Left sided hemiparesia is related to right sided intracranial tumor; so, the first step is intracranial tumor resection and spinal tumor resection should be scheduled in the next step.	Surgery
Amin Jahanbakhshi	7/20/2021	This is an interesting case presented by Dr Anbarlouei. the nature of supratentorial lesion does not explain the symptoms. So, I would rather to deal with spinal lesions as my first priority. so, at the first stage, I would operate spinal pathologies in a single session.	Surgery