Q:

If the following events were placed in chronological order which would come fourth?

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If the following events were placed in chronological order which would come fourth?


  1. Cingulate gyrus herniates beneath falx cerebri.
  2. Frontal lobe tumour in right hemisphere.
  3. Interventricular septum shifts to left of midline.
  4. Medial temporal lobe herniates through tentorial opening.
  5. Pontine and midbrain haemorrhage.

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The answer is D. A tumour in the right frontal lobe (B) will act as a space occupying lesion resulting in raised intracranial pressure; expansion of the right hemisphere causes shift of the midline (C), the cingulate gyrus herniates beneath the falx (A); increasing expansion results in a tentorial hernia (D) and eventually fatal pontine and midbrain haemorrhage (E) supervene.

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