Proff

Question 1

Causes of PARAPLEGIA
🧠💡Mnemonic: 7 Ts💡

Answer 1

T-Trauma.
T-Tuberculosis (Pott’s Disease).
T-Tumour( Meningioma, neurofibroma, lymphoma, leukaemia, myeloma, glioma, Secondaries).
T-Transverse myelitis.
T-Tabes Dorsalis.
T-Twelve (Vit. B-12 Deficiency).
T-Thrombosis of Anterior Spinal Artery.

Question 2

Indications of Plasma Exchange Therapy
🧠💡Guilty Man Cried At His Grave Punishment💡

Answer 2

1. Guillian Barre syndrome
2. Myeloma leading to Hyperviscosity
3. C
4. ANCA ➕ Vasculitis (Wegener’s granulomatosis & Churg Strauss Syndrome)
5. HUS/TTP
6. Myasthenia Gravis
7. Good Pasteur’s disease

Question 3

Ring Enhancing Lesion
🧠💡MAGICAL DR💡

Answer 3

• D: demyelinating disease (classically incomplete rim of enhancement)
R: radiation necrosis or resolving haematoma
• M: metastasis
• A: abscess
• G: glioblastoma
• I: infarct (subacute phase), inflammatory - neurocysticercosis (NCC), tuberculoma
C: contusion
A: AIDS
L: lymphoma (this appearance more common in immunocompromised)

Question 4

Raised ICT Features
🧠💡5Ps💡

Answer 4

5Ps
P-persistent and projectile vomiting P-persistent headache
P-palsy (diplopia and 6th nerve palsy) P-papilledema
P-persistent disturbances

Question 5

CP Angle Tumors
🧠💡A GAMES💡

Answer 5

1. Acoustic Neuroma
2. Glomus tumour
3. Arachnoid Cyst
4. Meningioma
5. Epidermoid cyst
6. Ependymoma
7. Schwannoma

Question 6

Acoustic Neuroma
🧠💡Schwannoma SWAN💡

Answer 6

1. S100 ➕
2. Well circumscribed
3. Acoustic schwannoma
4. Antoni A, Antoni B & Verocay Bodies seen

Question 7

Numb Chin Syndrome
(OR)
Roger’s sign

Answer 7

Mental Nerve damage
⬇️
Metastatic process in Mental Foramen
⭐ Ca Breast
⭐ Ca Lung
⭐ Giant Cell Arteritis
⭐ Burkitt’s Lymphoma
⭐ Sickle Cell Disease

Question 8

Numb Cheek Syndrome

Answer 8

DUE TO: Involvement of Infraorbital nerve

Seen in
✨ SQUAMOUS cell Ca
✨ LASIK

Question 9

Trumpet Player Neuropathy

Answer 9

DUE TO: Anterior Superior Alveolar Nerve Involvement

Question 10

Tongue Numbness seen in

Answer 10

Giant cell arteritis
⬇️
DUE TO: Lingual Nerve Involvement

Question 11

Marcus Gunn Phenomenon (OR) Jaw Winking Phenomenon seen in

Answer 11

Congenital Ptosis

Question 12

Inverse Jaw Winking Response (OR) Marin Amat Sign (OR) Reversed Gunn Phenomenon

Answer 12

Synkinesis DUE TO: Aberrant Regeneration of Facial Nerve where there is Involuntary closure of one eye on mouth opening