Neurology: Clinical Cases Uncovered

Neurology is a rapidly advancing core topic within the clinical curriculum and students and junior doctors are expected to recognise, understand and know how to investigate and manage many neurological–related disorders and conditions.

Neurology: Clinical Cases Uncovered leads students through the clinical approach to managing neurological problems via real–life patient cases and outcomes. Following a question–answer approach to developing the narrative, and including self–assessment MCQs, EMQs and SAQs, the book includes 27 fully–illustrated cases covering a wide range of neurological presentations and conditions.

Ideal for medical students with clinical attachments in neurology, and in the run up to examinations, the book will also be useful to doctors in training in general internal medicine, medicine of the elderly, psychiatry and neurology.

Preface.

Acknowledgements.

How to use this book.

List of abbreviations.

PART 1 Basics.

The biological basis of neurological disease and treatments.

Approach to patient.

PART 2 Cases.

Case 1 A retired accountant whose hand went weak.

Case 2 A 60–year–old man with back pain and weakness.

Case 3 A 25–year–old woman with weakness and tingling in her arms and legs.

Case 4 A 45–year–old man with uncontrollable seizures.

Case 5 A 37 year old man with sudden, severe headache.

Case 6 A 24–year–old woman with headaches and abnormal optic fundi.

Case 7 A 17–year–old girl who becomes unresponsive after a late night.

Case 8 A 30– year–old woman found fitting on the train.

Case 9 A 66 year old woman with confusion and weakness.

Case 10 An 18 year old girl with headache, fever and confusion.

Case 11 A 30–year–old woman with double vision and fatigue.

Case 12 A 29–year–old policewoman with tingling weakness of the left arm and leg.

Case 13 A 45–year–old secretary with pain in the leg.

Case 14 A 29–year old lady thrown off her horse.

Case 15 A 67–year–old man who is unsteady on his feet.

Case 16 A 49–year old plasterer with burning in the feet and difficulties walking.

Case 17 A 72 year old lady with memory problems.

Case 18 A cook with tingling hands.

Case 19 A 26–year–old lawyer with a weakness.

Case 20 A 19–year–old woman with acute headache and tingling.

Case 21 A 63 year old man whose hands have got so weak he can t work.

Case 22 A 55–year–old lady with episodes of excruciating facial pain.

Case 23 A 38 year–old man with heaviness of the legs.

Case 24 An 84–year–old man with confusion and unsteadiness.

Case 25 A 45–year–old man with constant headache.

Case 26 A 68–year old man with a two week history of unsteadiness.

Case 27 A 15 year old student with fidgeting movements.

PART 3 Self–assessment.

MCQs.

EMQs.

SAQs.

Answers.

Index of cases by diagnosis.

Index.

Malcolm Macleod, Reader and Head of Experimental Neuroscience, Centre for Clinical Brain Sciences, University of Edinburgh, and Honorary Consultant Neurologist and Clinical Lead for Neurology, NHS Forth Valley, Stirling

Marion Simpson, Neurology Registrar, The Austin Hospital, Melbourne, Australia

Suvankar Pal, Neurology Registrar, Western General Hospital, Edinburgh