Neurologic Complication of Systemic Diseases & Pregnancy

Question 1

dry eyes, dry mouth, painful dysesthesias with sensory loss

Answer 1

sjogren syndrome, sensory neuroNOpathy

Question 2

headache, oral & genital ulcers - pt of eastern mediterranean descent

Answer 2

behcet disease

Question 3

recurrent sinusitis, renal disease, multiple cranial neuropathies

Answer 3

Wegner granulomatosis = check C-ANCA

Question 4

fever, abd pain, headache, mononeuritis multiplex - pt w/ hep B

Answer 4

Polyarteritis nodosa (PAN) - check P-ANCA

Question 5

multiple cranial neuropathies, thick skull, elevated alkaline phosphatase

Answer 5

osteoPETrosis

Question 6

pentad of thrombotic thrombocytopenic purpura (TTP)

Answer 6

microangiopathy hemolytic anemia, low platelet, renal dysfunction, neuro s/s and fever

Question 7

facial palsy inc both upper and lower face + hilar adenopathy

Answer 7

sarcoidosis

Question 8

demyelinating neuropathy with IgM monoclonal gammopathy

Answer 8

check for antibodies against myelin-associated glycoprotein (MAG)