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24 Cards in this Set

  • Front
  • Back

Dysarthria + intention tremor + nystagmus

Cerebellar disease (typical of MS)

Visual disturbance (blurred or transient loss) + weakness in limbs +- paraesthesia in limbs

Multiple sclerosis

Rigidity + bradykinesia + resting tremor

Parkinsons disease

Tremor (postural or action) + head tremor + absence of parkinsonian features

Essential tremor

Fatiguable and weakness of eyelids and eye movts + limbs + bulbar muscles (speech and swallowing)

Myasthenia gravis

Ascending weakness of limbs + of face + acute areflexia

Guillain-Barre syndrome

(Episodic) Vertigo + tinnitus + acute hearing loss

Meniere disease

Dementia + myoclonus + ataxia

Creutzfeldt-Jakob disease

Drowsiness + vomiting + headache (waking)

Raised ICP

Enophthalmos + meiosis + ptosis +- anhydrosis

Horner syndrome

Blank spell + lips smacking (or similar automation) + olfactory/gustatory hallucination

Complex partial seizures

Gradual spread (Jacksonian march) of focal jerking (mouth, arm or leg) or sensory disturbance or (rarely) visual field disturbance

Simple partial seizure

Increased cranial pressure +/or focal signs +/or epilepsy

Cerebral tumour

Dysphagia + dysphonia/dysarthria + spastic tongue

Pseudobulbar palsy

Recurrent: headache (often unilateral) + nausea (+- vomiting) + acute visual aura

Migraine aura

Recurrent: severe retro-orbital headache + rhinorrhoea + lacrimation

Cluster headache

Instantaneous: headache +- vomiting +- neck stiffness

SAH until disproven

Headache + visual obscurations + papilloedema (often in young obese female)

Benign intracranial hypertension

Acute and transient: amaurosis fugax or dysphagia or hemiplegia

TIA (carotid)

Typical facies (temporal is atropy and frontal balding) + muscle weakness esp hands (+- myotonia) + cataracts

Dystrophia myotonica (myotonic dystrophy)

Ataxia + ophthalmoplegia + areflexia (acute)

Miller-Fisher variant of GBS

Vertigo + provoked by movement (esp rolling in bed) + hallpike positive

BPPV

UMN signs + LMN signs + fasciculations

Motor neuron disease

Leg weakness + ataxic gait + clumsiness (appears about 12yrs)

Friedreich ataxia