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14 Cards in this Set

  • Front
  • Back

Whom to suspect trigeminal neuralgia


Patients with normal findings on the head and neck examination and no neurologic deficits who have episodic, unilateral facial pain associated with nonpainful triggers

Bell's Palsy

Idiopathic facial nerve parlaysis



Though to be to zoster reactivation



Lower motor neuron pattern

Ramsay-Hunt syndrome

unilateral facial paralysis, a herpetiform vesicular eruption, and vestibulocochlear dysfunction

Bilateral facial nerve paralsysi

Lyme disease



Also consider infectious mononucleosis

Whom to suspect a neoplastic cause for facial nerve paralysis

recurrent ipsilateral facial paralysis


significant pain


prolonged symptoms


any other concomitant cranial nerve abnormality

Central facial paralysis

Forehead sparing

Asymmetrical sensorineural hearing loss

Consider vestibular shcwannoma

Multiple sclerosis

Demyelination of axons within the CNS



recurring episodes of neurologic symptoms that rapidly evolve during days and slowly resolve



areas of specific CNS impairment: cognition; cranial nerves; motor pathways, sensory pathways; cerebellar pathways; and bowel, bladder, and sexual dysfunction

Uhthoff’s phenomenon

temporary worsening of current or preexisting signs or symptoms of MS secondary to small increases in the patient’s body temperature

Lumbar puncture findings in MS

Pleocytosis


Elevated CSF IgG


Oligoconal bads on CSF electrophoresis

CN 1 -3

CN 4 - 6

CN 7 - 9

CN 10 - 12