Neurology

Question 1

describe presentation of Lambert-Eaton syndrome?

Answer 1

proximal weakness which improves with repetition, and associated with malignancy

Question 2

describe third nerve palsy?

Answer 2

palsy of oculomotor nerve - looking ‘down and out’

Question 3

describe fourth nerve palsy?

Answer 3

paralysis of trochlear nerve - controls superior oblique muscle - eye points ‘upwards and inwards’ - tilts head to compensate

Question 4

describe sixth nerve palsy?

Answer 4

paralysis of abducens nerve - controls lateral rectus - medially deviated at rest and diplopia worsens when patient looks horizontally away from midline