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How Good at Neurology are you? – Questions


1. Consider the following case.

A 61-year-old man woke up one morning with the feeling that his tongue was swollen. Also his speech was a bit slurred and he had difficulty swallowing. Two days before he had had a left-sided headache, which was unusual for him. Otherwise his medical history was unremarkable. The relevant signs are shown in the two photographs (Fig 1 and 2). What is your diagnosis?

Jan van Gijn Utrecht

2. What is the cause of this woman’s symptoms?

A 57-year-old woman presented with a three year history of parkinsonism on the right side of her body and speech difficulties. Figure 3 shows her axial T1 MR images.

Hasmet A. Hanagasi and Murat Emre Capa/Istanbul

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