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Which of the following is the most likely cause of this patient's seizure disorder? A 40-year-old woman is brought to the emergency department 30 minutes after sustaining severe chest injuries in a motor vehicle collision. Despite appropriate treatment, she dies 1 hour later. She had a 25-year history of a well-controlled seizure disorder. A photograph of a coronal section of the brain obtained at autopsy is shown.





A. Glioblastoma multiforme
B. Herpes simplex encephalitis
C. Mesial temporal sclerosis
D. Neonatal ischemic stroke
E. Vascular malformation

This question is part of NBME 13 section 1 (qst 1-50)
Asked by Wyatt Williams, Last updated: May 30, 2019

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3 Answers

J. Harty

Have keen interest in writing, traveller by heart.

J. HartyWriter, M.A, Chula Vista
Writer, M.A, Chula Vista

Answered on May 30, 2019

The answer to this question is E. Vascular Malformation is a congenital vascular anomaly that usually affects the veins. This can affect the lymph vessels, vessels, and even the arteries. Since the veins will be dilated, this can make it harder for the blood to pass through the different veins of the body.

This may sound dangerous, but it will only become dangerous when a blood clot forms in some parts of the body like the brain and the blood clot bursts. The patient’s seizure disorder has affected her ability to recover from the severe chest injuries that she has sustained. The patient may have also acquired some brain injury that is related to her seizures that caused the problem to worsen.

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B. Tiffney

Here for the daily dose of fresh knowledge

B. TiffneyComputer Engineer, M. Tech, Southeast Montgomery
Computer Engineer, M. Tech, Southeast Montgomery

Answered on Apr 19, 2019

E is the answer to this question. The term vascular malformation is said to be a very vast term that is normally used to describe different vascular anomalies. This is not only for the veins but also for the lymph vessels and the arteries. There are some people who think that this is a bit dangerous but it is usually more painful because when blood tries to pass through the veins that have become dilated, it can become extremely uncomfortable.

Take note that this may occur because of other conditions that people may have. There are different treatments that are available in order to help solve this condition. Some undergo laser treatment but others would also use embolization.

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Wyatt Williams

Wyatt Williams

Answered on Jul 24, 2018

Vascular malformation
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