Case Presentations in Neurology by G. S. Venables, D. Bates and N. E. F. Cartlidge (Auth.)

By G. S. Venables, D. Bates and N. E. F. Cartlidge (Auth.)

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Figure 2a (d) Is sputum culture indicated? (e) Should examination for fungal material b e included? 34 Answers 3. (a) If a space-occupying lesion is suspected, lumbar puncture is contra-indicated as it may cause a pressure cone. (b) EEG may show an epileptogenic focus in the left frontal region. 6). (c) This cranial CT shows multiple 'ring-enhancing' lesions. Although this appearance can b e seen in multiple metastasis or intracranial lymphoma, in this context it is probably attributable to multiple cerebral abscesses.

Walton, J. ) Disorders Voluntary Muscle (1981), Churchill Livingstone, Edinburgh, Chapter 18 ENGEL, A. 3 A case of involuntary movements A 75-year-old woman called her general practitioner because of uncontrollable movements of the left arm. She was receiving treatment with haloperidol and benztropine for an agitated depression. Her sister had died 5 years previously from Creutzfeld-Jakob disease and until the time of her death had been cared for by the patient. The patient's involuntary movements began quite suddenly 1 week previously.

Local conduction block in affected nerves. Dispersed 'F' waves. Abnormal interference pattern on maximal volitional con­ traction. 52 Answers 5. (a) (b) (c) (d) True True False True Neurophysiological studies may help to localize the peripheral nerve lesion and show, by electromyography, the extent of denervation and prognosis for recovery. g. toxic or paraneoplastic, neuropathy. In severe local lesions a conduction block occurs, but is not a universal finding. 'F' waves represent the discharge of spinal neurones after antidromic activation and are a measure of proximal conduction time.

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