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How Good at Neurology are you? – Questions
  1. Paul Goldsmith*,
  2. Graham Lennox*,
  3. Julian Ray
  1. *Departments of Neurology and
  2. Neurophysiology, Addenbrooke’s Hospital, Cambridge, UK. Email: paul-goldsmith{at}


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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