Ataxia

Question 0

Symptom triad of Meniere’s disease

Answer 0

Episodes of hearing loss, vertigo, and tinnitus. (These come and go)

Question 1

Another pathology causing similar sx to an acoustic schwannoma? Which cranial nerves can be affected?

Answer 1

Cerebropontine angle meningioma and acoustic schwannomas can both cause unilateral hearing loss as they affect CN VIII. Can also impact CN V, VII (think through your anatomy

Question 2

Anti-Yo antibodies?

Answer 2

One of paraneoplastic syndromes associated with Purkinje cells

Question 3

72 yo with sudden severe occipital headache. Falling, room spinning, nystagmus. Localization?

Answer 3

Cerebellum (likely cerebral hemorrhage)

Question 4

1) Three characteristic symptoms of normal pressure hydrocephalus

Answer 4

Wet, wacky, wobbly = urinary incontinence, dementia, ataxia.

Also seen in communicating hydrocephalu

Question 5

1) Longer term sequelae of meningitis

Answer 5

Communicating hydrocephalus from arachnoid granulation scarring

Question 6

6) Headache that gets worse bending forward or side to side?

Answer 6

Worry about raised intracranial pressure for these

Question 7

7) Adult vs pediatric brain tumor locations?

Answer 7

Adults most likely supratentorial, pediatrics more common infratentorial (e.g. medulloblastoma)