12 Questions
What do the neurological examination findings suggest in the first case?
Cerebellar stroke and vestibular neuritis
Which changes in the head MRI are likely to explain the symptoms found?
Hyperintense focus in the DWI sequence in the right cerebellar hemisphere
What two conditions are most likely based on the symptoms of severe dizziness and nausea, along with unidirectional right-sided horizontal nystagmus?
Cerebellar stroke and vestibular neuritis
What is the most appropriate action to relieve symptoms in a patient with unidirectional right-sided horizontal nystagmus and a positive head shake test to the left?
Refer for MRI of the brainstem
Which characteristic differentiates migraine from cluster headache?
Hemicephalic pain consistent with the extent of trigeminal nerve innervation
Which symptom is typical of the beginning of wedging of the parahippocampal gyrus into the cerebellar tentorial notch?
Facial nerve palsy
Which statement is true regarding optic disc edema?
Visual acuity is normal in the initial period
What differentiates a hemiplegic migraine from other types of migraine?
Hemicephalic pain associated with transient ischemia of the cerebral cortex
What is the next appropriate management step for the 46-year-old patient with signs of subarachnoid hemorrhage on head CT?
Performing a lumbar puncture
Which intervention should be avoided in a patient with signs of subarachnoid hemorrhage on head CT?
IV rtPA administration in the absence of a hemorrhagic focus in head CT
Identify the incorrect information regarding migraine without aura.
1,2,4,5
What could be the most appropriate diagnosis for the 24-year-old patient presenting with hemiplegic and pulsating headaches accompanied by nausea, vomiting, and photophobia?
Migraine with aura
Test your knowledge of neurological examination findings and their correlation with head MRI results. Determine the changes in head MRI that explain the specific symptoms observed in the neurological examination.
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