Neurology

Question 1

Signs and symptoms associated with neurological disease

Answer 1

Headache, dizziness, fainting, numbness

Question 2

Upper motor neurons

Answer 2

Contralateral, lower part of the face
Weakness in the lower part of the face only as the frontal muscles have a bi- cortical representation
Common in strokes

Question 3

Lower motor neurons

Answer 3

Whole half of the face( one side)
Ipsilateral
No blinking
Common in Bells palsy ( no pupil constriction)
All muscles of the facial expression are affected

Other causes: parotid tumours or surgeries, LA infiltrating into parotid gland

Question 4

Cerebellar lesions symptoms

Answer 4

Tremor
Clumsiness
Nystagmus
Dysarthria
Tremor of the head

Question 5

Occlulomotor, trochlear and abducens nerves lesions

Answer 5

Occlulomotor - if lesion- ptosis, fixed dilated pupils
Trochlear - double vision when looking down
Abducens - eye turns medially in lesion - leading to double vision

Question 6

Trigeminal neuralgia

Answer 6

Sudden, short lived electric like recurrent pain in the distribution area of the trigeminal nerve
Pain can be triggered

Treatment:
Cabramezapine, phenytoin, gabapentin