508. Neuro-fin.

Question 1

What is cervical spondylosis?

Answer 1

Degeneration of the annular fibrosis

Combined with osteophyte formation, narrows spinal canal

Question 2

What are the presenting spondylosis of cervical spondylosis?

Answer 2

Neck stiffness, Crepitus, Stabbing or dull pain, Forearm/wrist pain

Painful neck movement, crepitus

Lhermitte’s sign

Question 3

How do you manage cervical spondylosis?

Answer 3

Urgent MRI

Neurosurgical referral

Question 4

Describe the inheritance pattern of neurofibromatosis?

Answer 4

Autosmal dominant

Question 5

What are the signs of neurofibromatosis

Answer 5

Split into type 1 and type 2

Type 1- cafe au lait spots, Freckling, Lots of moles

Type 2- Cafe au lait, Bilateral vestibular schwannomas,

Question 6

What is syringomyelia?

Answer 6

Fluid filled cyst within the spinal cord

Question 7

What are some of the signs and symptoms of syringmyelia?

Answer 7

Absent pain and temperatire sensation- anterolateral pathway

Wasting/weakness of the hands and claw hand

Horner’s syndrome

Question 8

What are the causes of syringomyelia

What is the treatment?

Answer 8

Blocked CSF circualtion- e.g. arnold chiarri malformation

basal arachnoiditis

Bsilr invaginitis

Surgery

Question 9

What viruses associated with HIV typically cause neurological defecits?

Answer 9

Toxoplasma gondii- cerebral abscess

Cryptococcus neoforams- chornic meningitis with fevers

CMV- slow cognition, seizures

Progresive multifocal leukoencephalopathy

Syphilli sand TTB

Question 10

What are the symtpoms of human T cell lymphotrophic virus?

Answer 10

Spastic paraplegia- slowly progressive

Paraethesia, sensory los, disorders of micturation