Neurology

Preface vii

Acknowledgements viii

How to Use This Book ix

List of Abbreviations x

Part 1 Basics 1

Basic science 1

Approach to the patient 10

Part 2 Cases 18

Case 1 A 76-year-old man whose hand went weak 18

Case 2 A 60-year-old man with back pain and weakness 22

Case 3 A 25-year-old woman with weakness and tingling in her arms and legs 27

Case 4 A 45-year-old man with uncontrollable seizures 32

Case 5 A 24-year-old woman with headaches and abnormal optic fundi 36

Case 6 A 37-year-old man with sudden severe headache 39

Case 7 A 17-year-old girl who becomes unresponsive after a late night 46

Case 8 A 30-year-old woman found fitting on the train 51

Case 9 A 66-year-old woman with confusion and weakness 54

Case 10 An 18-year-old girl with headache fever and confusion 58

Case 11 A 30-year-old woman with double vision and fatigue 61

Case 12 A 29-year-old woman with tingling weakness of the left arm and leg 67

Case 13 A 45-year-old woman with pain in the leg 70

Case 14 A 29-year-old woman thrown from her horse 73

Case 15 A 67-year-old man who is unsteady on his feet 77

Case 16 A 49-year old man with burning in the feet and difficulty walking 81

Case 17 A 72-year-old woman with memory problems 86

Case 18 A 54-year-old woman with tingling hands 90

Case 19 A 26-year-old woman with right-sided weakness 93

Case 20 A 19-year-old woman with acute headache and tingling 97

Case 21 A 63-year-old man whose hands have got so weak he can’t work 101

Case 22 A 55-year-old woman with episodes of excruciating facial pain 105

Case 23 A 38-year-old man with heaviness of the legs 108

Case 24 An 84-year-old man with confusion and unsteadiness 112

Case 25 A 45-year-old man with constant headache 115

Case 26 A 68-year-old man with a 2-week history of unsteadiness 118

Case 27 A 15-year-old girl with fidgeting movements 121

Part 3 Self-assessment 124

MCQs 124

EMQs 131

SAQs 135

Answers 140

Index of cases by diagnosis 146

Index 147