DR.HAWRAA
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Characteristic of MS = MCQ

Internuclear ophthalmoplegia (INO) : lesion in the medial longitudinal fasciculus

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اجانه هذا الكيس + يحبهن
Pseudobulbar palsy

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Specific treatment in MS:

1 . Acute relapse : High dose steroids (e.g. IV methylprednisolone)
2 . Disease modifying drugs : first line (Beta-interferon) —risk of thyroid disease so need TFTs
3 . pregnancy : glatiramer
4 . Spasticity : Baclofen and gabapentin are first-line.
5 . MS-related fatigue : amantadine

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الLambert-Eaton syndrome هم اجتنه …
A patient of small cell lung carcinoma presents with muscle weakness, spreading from legs to arms + hyporeflexia .
C/O dry mouth & erectile dysfunction.

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من يربطلك كانسر ب اعراض بمكان ثاني مالها دخل بمكان الكانسر الاساسي
هنا فكر بالParaneoplastic syndrome

*مستحيل مايجيبها …

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Tuberous sclerosis

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Brain tumour summary :
اول شي تركزون ع الي مسويتلهن هايلايت

1 .Metastases : Most common type of brain tumour
2 .Glioblastoma : The most common primary brain tumour in adults.
* ذني الي اجن النه MCQ

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Spinal cord lesions:
الاولى د.احمد عبد الجواد يسال عنها
الثانية اجتنه مد وفاينل
والMS تعرفون اهميته
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Case : Subacute combined degeneration of the cord

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* هو مايحتاج اگلكم شگد مهم ):

Transverse myelitis = Sensory level


Case 1 : Sensory level – spinal cord lesion, trauma-related acute paraplegia and sensory loss below the umbilicus.
Case 2 : Transverse myelitis with Spinal shock state – Rapid onset flaccid paralysis, areflexia (Lower motor neuron sigs + Sensory level ) , post-infectious.

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Syringomyelia : degenerative disease of the spinal cord

MRI is the investigation of choice

The mainstay of the treatment of is surgery.

Syringomyelia : specific condition that causes central cord-type syndrome ( anterior white commissure)
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ال Miller Fisher syndrome همين اجت
اهم شي تذكرون الGQ1b

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CIDP
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كذلك اجه …

الكيس جان شاب اجه للطوارئ يشتكي من ضعف مفاجئ برجليه صارله من الصبح ما يگدر يمشي وقبلها جان لاعب رياضة و يگلك الK جان low …

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