Frontal Meningioma – Surgery — SCE Neurology MCQ

Instant feedback + full explanation. One question, done properly.

HardNeuro-oncologyFrontal Meningioma – SurgerySCE Neurology

A 65-year-old woman with right frontal meningioma has personality change, urinary incontinence, anosmia, and seizures. The tumour is 5 cm with significant mass effect. What is the management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Surgical resection

The best answer is “Surgical resection”. NICE bases epilepsy diagnosis and treatment on seizure type, syndrome, recurrence risk, comorbidity, pregnancy potential and medicine harms; typical provoked seizures are managed by correcting the provoking cause. The alternatives “Observation with serial MRI”, “Whole-brain radiotherapy”, “Temozolomide”, “Stereotactic radiosurgery” are clinically adjacent possibilities, but they do not match the defining chronology, localisation, physiology, investigation result or UK management sequence in this stem.

Reference: NICE NG217 epilepsy recommendations: https://www.nice.org.uk/guidance/ng217/chapter/Recommendations