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A super giant concept... A 45-year-old woman needs to see a neurologist, that is…you. She says that she has been feeling tired w/ weakness and spasticity of the upper limbs for the past three years. She has a long history of problems, characterized by depression and poorly defined somatic complaints such as a recurrent sensation of electric shocks down the spine. Four years ago, the patient experienced transient loss of visual acuity. On examination, she appears moderately anxious, but with no abnormalities in orientation, memory, or judgment. Neurologic examination reveals spastic paraparesis and mild loss of proprioceptive sensation in both arms. She says symptoms have “waxed and waned” for years. The neurologist arranges for a lumbar puncture. This shows increased protein with oligoclonal bands in the CSF. What is this classic disease with the above classic presentation? 1-Acute Disseminated Encephalomyelitis 2-Atypical Facial Pain 2-Brainstem Gliomas 3-Central Pontine Myelinolysis 4-Essential Tremor 5- HIV-1 Encephalopathy and AIDS Dementia Complex 6-Hemifacial Spasm 7-Multiple Sclerosis 8-Primary CNS Lymphoma 9-Primary Lateral Sclerosis 10-Spinal Cord Infarction

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Subject: Tommy's Concepts

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A super giant concept...
A 45-year-old woman needs to see a neurologist, that is…you. She says that she has been feeling tired w/ weakness and spasticity of the upper limbs for the past three years. She has a long history of problems, characterized by depression and poorly defined somatic complaints such as a recurrent sensation of electric shocks down the spine. Four years ago, the patient experienced transient loss of visual acuity. On examination, she appears moderately anxious, but with no abnormalities in orientation, memory, or judgment. Neurologic examination reveals spastic paraparesis and mild loss of proprioceptive sensation in both arms. She says symptoms have “waxed and waned” for years. The neurologist arranges for a lumbar puncture. This shows increased protein with oligoclonal bands in the CSF. What is this classic disease with the above classic presentation?
1-Acute Disseminated Encephalomyelitis
2-Atypical Facial Pain
2-Brainstem Gliomas
3-Central Pontine Myelinolysis
4-Essential Tremor
5- HIV-1 Encephalopathy and AIDS Dementia Complex
6-Hemifacial Spasm
7-Multiple Sclerosis
8-Primary CNS Lymphoma
9-Primary Lateral Sclerosis
10-Spinal Cord Infarction

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