Phys Vivas · neurological
Raised Intracranial Pressure AND Brain Tumours — Viva Defence
DCE viva defence for Raised Intracranial Pressure AND Brain Tumours.
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Target exams
Raised Intracranial Pressure AND Brain Tumours Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Raised Intracranial Pressure AND Brain Tumours. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Mottolese C Conclusions Adv Tech Stand Neurosurg, 2026.PMID 42115468
- [2]Beuriat PA, Rousselle C, Sabatier I Pineal Region Tumors: Clinical Symptoms and Syndromes Adv Tech Stand Neurosurg, 2026.PMID 42115454
- [3]Matushita H, Cardeal DD, Yamaki VN, Mattedi RL Primary intracranial infantile hemangioma presenting with hemorrhage: histopathological and immunohistochemical confirmation of a rare lesion Childs Nerv Syst, 2026.PMID 42020850
- [4]Nasri A, Mansour M, Brahem Z, Kacem A, et al. Stroke disclosing primary aldosteronism: Report on three cases and review of the literature Ann Endocrinol (Paris), 2017.PMID 28168953
- [5]Nakase H, Motoyama Y, Yamada S [Cerebral hemorrhage] Nihon Rinsho, 2016.PMID 27333758
- [6]Esquenazi Y, Lo VP, Lee K Critical Care Management of Cerebral Edema in Brain Tumors J Intensive Care Med, 2017.PMID 26647408
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005