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How Good at Neurology are you? – Questions

^* Departments of Neurology and
Neurophysiology, Addenbrooke’s Hospital, Cambridge, UK. Email: paul-goldsmith{at}cantab.net

EXTRACT

1. Consider the following case.

A 46 year old man presented with a six year history of stiffness in his legs and clumsiness. Figure 1 show his (a) T1 sagittal and (b,c) T2 axial MR images. What is the cause of this man’s symptoms?

2. Please study Fig. 2.

A 24 year old man is admitted to the emergency department having been found unconscious with a suicide note. The admitting doctor could not see a pupillary response in either eye and asks you to review.

1. What is the ophthalmic diagnosis?
   
2. What is the connection with fruit?
   

3.What does the Fig. 3 show ?

1. Bergmeister’s papillae
   
2. Myelinated nerve fibres
   
3. Optic nerve head drusen
   
4. Non-pigmented lattice degeneration
   
5. Retinoschisis
   

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