Case 1. 32 yrs-old, left handed man, presented with 3 months history of recurrent headaches, sleepiness and memory difficulty.
a. Psychiatric disorder is very unlikely
b. Memory deficit is likely to be due to organic lesion if remote memory is least affected.
c. The association between visual hallucinations and psychotic disorders is typical.
d. Ear problem can be associated with this complaint.
a. An occipital lobe involvement is necessary to explain his symptoms.
b. The lesion is localized in the right parietal lobe.
c. In view of amnesia, it can only be Localized in temporal lobe.
d. Bilateral apical lesions on chest X-ray may be relevant.
e. Demyelinating disease is unlikely in view of patient’s age.
a. Brain abscess
b. Pseudotumor Cerebri
a. Paraneoplastic polyneuropathy
c. Guillaine-Barre syndrome
d. Metabolic myopathy
e. Lambert-Eaton syndrome
a . EMG
b . NCS
c . CK
d . LP
e . EEG
walking for the past three weeks.
man with a mild left hemiparesis. CT scan showed three intraparenchymal ring-like lesions
in the right cerebral hemisphere.
Q1: The proper initial management of this patient would be :
The following statements are true regarding her epilepsy except :
A 30 yrs old man presented with progressive sensory changes in the gloves and stocking distribution. Which is the unlikely differential diagnosis :
A 35-year-old lady had a transient attack of partial blindness in one eye a year ago, an episode of parasthesia in the right lower limb six months ago, and weakness in lower limbs with urgency since two months.
The diagnosis may be supported by a positive result from one or more of the following investigations, except one :
A 35 yrs old woman has noted decreased vision for two months. She lost her
menstruations 2 years earlier. The main neurological finding is bitemporal hemi-anopia.