Neurology Flashcards
(3 cards)
17 year old woman presents to clinic with worsening headache and neck pain exacerbated by coughing. There is muscle weakness, unsteadiness, downbeat nystagmus, distal weakness of the upper limbs, and dissociated sensory loss leading to cape anaesthesia. What is the most likely diagnosis?
Chiari Type 1 malformation
48 year old man presented to ER with LOC following headache, receptive dysphasia, left hemiparesis, and right oculomotor nerve palsy. Background of poorly controlled HTN, IDDM, drinks 50 units of alcohol per week, and has a 20-pack year smoking history. What is the most likely cause of his coma?
Temporary lobe haemorrhage with oedema.
Patient has significant risk factors for both ischaemic and haemorrhagic stroke however ipsilateral CNIII palsy with contralateral hemiparesis denotes haemorrhagic temporal lobe stroke causing uncal herniation with brainstem compression.
32 year old presents with ascending paralysis post diarrhoeal illness. Lumbar puncture shows raised protein in CSF but no other abnormalities. What is the most appropriate treatment?
-IV Immunoglobulins(IVIG)
- Plasma exchange.
