16th August 2023

A 55-year-old woman with a known history of cyanotic congenital heart disease presents with persistent headache

A 55-year-old woman with a known history of cyanotic congenital heart disease presents with persistent headache, confusion, and focal neurological signs, including left-sided weakness. A brain MRI shows a multiloculated ring-enhancing lesion in the right parietal lobe.

Which of the following management options is most appropriate for this patient?