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5565 Pediatrics

A 1.5 year old female is brought to the clinic with complaints of excessive enlargement of head, intolerance to feeds and severe malnourishment. MRI imaging was suggestive of a medulloblastoma causing obstructive hydrocephalus. Which of the following is an example of irrational management of the patient?

ACraniotomy and sub-total excision of the tumour. Surgeon leaves the layer of the tumour adherent with colliculus
BFirst ventriculoperitoneal shunt was done
CCCNU and vincristine were given as chemotherapy
DRadiotherapy 35-40 Gy was given to the whole craniospinal axis (Correct Answer)