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24 Cards in this Set
- Front
- Back
Dysarthria + intention tremor + nystagmus |
Cerebellar disease (typical of MS) |
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Visual disturbance (blurred or transient loss) + weakness in limbs +- paraesthesia in limbs |
Multiple sclerosis |
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Rigidity + bradykinesia + resting tremor |
Parkinsons disease |
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Tremor (postural or action) + head tremor + absence of parkinsonian features |
Essential tremor |
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Fatiguable and weakness of eyelids and eye movts + limbs + bulbar muscles (speech and swallowing) |
Myasthenia gravis |
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Ascending weakness of limbs + of face + acute areflexia |
Guillain-Barre syndrome |
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(Episodic) Vertigo + tinnitus + acute hearing loss |
Meniere disease |
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Dementia + myoclonus + ataxia |
Creutzfeldt-Jakob disease |
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Drowsiness + vomiting + headache (waking) |
Raised ICP |
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Enophthalmos + meiosis + ptosis +- anhydrosis |
Horner syndrome |
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Blank spell + lips smacking (or similar automation) + olfactory/gustatory hallucination |
Complex partial seizures |
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Gradual spread (Jacksonian march) of focal jerking (mouth, arm or leg) or sensory disturbance or (rarely) visual field disturbance |
Simple partial seizure |
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Increased cranial pressure +/or focal signs +/or epilepsy |
Cerebral tumour |
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Dysphagia + dysphonia/dysarthria + spastic tongue |
Pseudobulbar palsy |
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Recurrent: headache (often unilateral) + nausea (+- vomiting) + acute visual aura |
Migraine aura |
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Recurrent: severe retro-orbital headache + rhinorrhoea + lacrimation |
Cluster headache |
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Instantaneous: headache +- vomiting +- neck stiffness |
SAH until disproven |
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Headache + visual obscurations + papilloedema (often in young obese female) |
Benign intracranial hypertension |
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Acute and transient: amaurosis fugax or dysphagia or hemiplegia |
TIA (carotid) |
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Typical facies (temporal is atropy and frontal balding) + muscle weakness esp hands (+- myotonia) + cataracts |
Dystrophia myotonica (myotonic dystrophy) |
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Ataxia + ophthalmoplegia + areflexia (acute) |
Miller-Fisher variant of GBS |
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Vertigo + provoked by movement (esp rolling in bed) + hallpike positive |
BPPV |
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UMN signs + LMN signs + fasciculations |
Motor neuron disease |
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Leg weakness + ataxic gait + clumsiness (appears about 12yrs) |
Friedreich ataxia |