HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Search for Related Content

How good at neurology are you? — QUESTIONS

1. What is the diagnosis?
   
   
   A woman in her forties was brought to hospital from the airport after she returned from a five week overseas trip to Japan and China. She had been unwell for 48 hours with fever, headache, and confusion. Examination findings included meningism, stupor, rigidity of all four limbs, generalised hyperreflexia, myoclonus, and an extensor left plantar response. There was a cerebrospinal fluid (CSF) pleocytosis (white cell count 283 x 10⁹/l, 67% lymphocytes, 33% polymorphs). The CSF protein was 0.55 g/l and the glucose was 3.8 mmol/l. T2-weighted MRI (see fig) showed hyperintense signal in the thalamus.
   Neil Anderson, New Zealand
   
2. Read the case synopsis and answer the questions
   At the age of 40 a New Zealand farmer was thrown off his all-terrain four wheel bike, an accident due to, or resulting in, a stroke. He sustained a head injury sufficient to cause radiological evidence of frontal . . . [Full text of this article]