Neurology Shelf Practice Questions - NBME Clinical Science Subject Exam Clinical Neurology Exam

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A 58-year-old man with long-standing hypertension develops severe occipital headache, vomiting, ataxia, and decreasing consciousness. CT shows a 4-cm cerebellar hemorrhage compressing the fourth ventricle with acute hydrocephalus. What is the next best step?
Correct Answer:
Urgent neurosurgical decompression with ventricular drainage

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