Neurology

Question 1

What are the features of syringomyelia?

Answer 1

Loss of pain and temperature sensation in cape-like distribution, trophic changes to skin, muscle weakness, spasticity, hyper-reflexia and abnormal plantar reflexes

Question 2

What is a syringomyelia and what does it look like on MRI

Answer 2

Enlargement of a cavity of fluid within spinal cord compressing spinal tracts.
Bright lesion at T2 level

Question 3

What causes pes cavus?

Answer 3

Basically anything that causes distal lower limb weakness
Friedreich’s ataxia, tethered spinal cord, spina bifida, duchenne muscular dystrophy, Charcot Marie Tooth disease

Question 4

What anti-epileptic causes peripheral field defects?

Answer 4

Vigabatrin

Question 5

What do infantile spasm look like?

Answer 5

Runs of flexion and extension spasms with peculiar high pitched cry and screaming

Question 6

Acquired aphasia in a previously well child + self-limiting seizures suggests what?

Answer 6

Landau-Kleffner Syndrome

Question 7

Severe, intractable seizures + developmental delay/ regressions between events

Answer 7

Lennox-Gestraut Syndrome