Neuralgia/Neuropathy

Question 1

Indications for MRI with trigeminal neuralgia?

Answer 1

If MS symptoms

Question 2

Indications for ESR in trigeminal neuralgia?

Answer 2

if Temporal Arteritis suspected

Question 3

Tx #1 for trigeminal neuralgia?

Answer 3

Carbamazepine

Question 4

Bells palsy onset?

Answer 4

abrupt

Question 5

Bells palsy tx?

Answer 5

Steroids to shorten duration, no acyclovir

Question 6

Polymyositis/Dermatomyositis mech of hoarseness?

Answer 6

Direct larnygeal nerve damage

Question 7

Autoimmune Autonomic Neuropathy pathophys?

Answer 7

AChR A3 auto antibodies, post infectious –> subacute loss of ACh

Question 8

Pure Autonomic failure population, prognosis and pathophys?

Answer 8

Middle aged women
Sporadic, normal lifespan
Low NE and supersensitivity

Question 9

Autonomic Storm MCC?

2nd?

Answer 9

TBI

2nd = Acute intracranial lesion

Question 10

When is Carpal tunnel worst?

Answer 10

At night

Question 11

Mononeuritis multiplex Sx, underlying diseases, Tx?

Answer 11

Multiple areas of nerve entrapments

PAN, RA, SLE, Churg Strauss, Wegeners

Steroids and Cyclophsophamide

Question 12

Diabetic CN III findings? Why?

Answer 12

Motor loss, normal constriction, because pupil constriction is external

Question 13

Charco-MT onset normal age?

Question 14

Life expectancy of CMT?

Answer 14

Normal

Question 15

Familial Alpha-Lipoprotein deficency pathophys and sx?

Answer 15

Low HDL –> cholesterol deposition

Syringomyelic presentation + wasting of hand muscles

Question 16

Cauda equina MNs?

Answer 16

LMN only

Question 17

Cauda equina onset?

Answer 17

Gradual Severe

Question 18

Conus medullaris MNs?

Answer 18

UMN and LMN (Babinsky)

Question 19

Lumbar disc herniation vs. Spinal stenosis on spinal flexion?

Answer 19

LDH = WORSE

Spinal Sten. = Better

Question 20

EMG of Neuropathy vs Myopathy?

Answer 20

Myopathy = Decreased amplitude
Neuro = Increased