Neurological Assessment - Nervous System Imaging
- peripheral nervous system
50 year-old hypertensive, diabetic, obese, hyper-cholesterolemic, smoker reports the following: Five minute episode of left arm tingling, which then spreads to the face, mouth, and tongue. This subsequently resolves. The identical episode recurs the following day. These episodes occurred 2 weeks after he fell and struck the right temporal-parietal skull region. He was unconscious for 10 minutes and has 30-minute periods of amnesia. When seen by his PCP his neurological examination is normal but he has left carotid bruit and BP is 190/1 00 mmHg.
48 year-old normotensive ectomorphic woman reports the following symptoms: Fifteen minute episode of sudden onset of right sided arm weakness and inability to speak. This resolves completely. When seen by her PCP, her exam is entirely normal.
20 year-old woman reports that two-weeks after a flu-like illness she notes pain and visual blurring in her right eye. Both symptoms resolve in one month. One year later after an episode of "bronchitis", she reports her legs become weak but then she fully recovers.
One year later, she fails a vision test of color perception and is referred to an eye doctor.
40 Year-old man is involved in a minor "fender-bender" MVA. For two days his back is stiff. This resolves following use of lbuprofen. One month later he develops difficulty walking and trips over his feet. Two days later he has trouble with his hands and can not open his jars. Also he can not arise from a chair without difficulty.
- CSF examination
- Spinal Myelogram
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