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Experience the Clinical cases in the neurology department which will amaze you!

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(@dr-yash)
Posts: 40
Drtellsyou Education Team
Topic starter
 

Comment your answers with diagnosis and mention the logical clue!

This topic was modified 4 years ago by Dr. Yash
 
Posted : 22/11/2021 11:46 am
(@ganesh-kumar)
Posts: 23
Eminent Member
 

Increased latency bn waves 1 and 5 , histopath - antoni a and b pattern , ice cream on cone appearanceΒ  , all these point towards acoustic neuroma ,

I think the nerve tested in the first pic is seventh nerve or the fifth nerve

 
Posted : 22/11/2021 3:08 pm
Jon snow and MadDoc reacted
(@dr-yash)
Posts: 40
Drtellsyou Education Team
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@ganesh-kumarΒ 
Yes !! You r absoulety right! What would be the answer?

 
Posted : 22/11/2021 3:11 pm
(@ganesh-kumar)
Posts: 23
Eminent Member
 

I guessed internal acoustic meatus and foramen ovale which turned out to be wrong

 
Posted : 22/11/2021 5:07 pm
(@prek97)
Posts: 2
Active Member
 

Clinical scenario tells loss of sensation of jaw and lower face denoting damage in mandibular division of trigeminal nerve pathway. Right sided hearing loss, tinnitus, Bera showing delay between wave 1 and 5 , mri showing lesion at inner meatal opening, histology showing antoni a and b areas all denotes right sided vestibular schwannoma. Sensory loss due to trigeminal nerve compression. Corneal reflex may be affected both due to involvement of opthalmic division of trigeminal and facial nerve. Here based on the options, A - cribriform plate , B - superior orbital fissure , C - foramen ovale, D - inner acoustic meatus.
Q2: mandibular nerve exits through foramen ovale that is option c in image.
Q1: clinical test showing negative can be both B and D (opthalmic nerve and facial nerve respectively).

B and C is not given in the option. D and c is given.Β 
Hence the answer is option D.

This post was modified 4 years ago by Prek97
 
Posted : 22/11/2021 5:45 pm
(@dr-yash)
Posts: 40
Drtellsyou Education Team
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@prek97Β 
Good work!! Its crystal clear👏🏻

 
Posted : 22/11/2021 6:11 pm
(@dr-yash)
Posts: 40
Drtellsyou Education Team
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Ans : (D) B - Superior orbital fissure

Β  Β  Β  Β  Β  Β  Β  C- Foramen ovale

 
Posted : 22/11/2021 6:15 pm
kishorekumar and MadDoc reacted
(@dr-yash)
Posts: 40
Drtellsyou Education Team
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Localise the lesion using clinical vignette given !

 
Posted : 06/12/2021 4:28 pm
(@dr-yash)
Posts: 40
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Solution for Today’s DOPE OUT!

Β 
This post was modified 4 years ago 3 times by Dr. Yash
 
Posted : 06/12/2021 4:29 pm
(@dr-yash)
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CNS PHARM!

 
Posted : 20/12/2021 12:02 pm
(@thamarai)
Posts: 3
New Member
 

@dr-yash agranulocytosis

 
Posted : 20/12/2021 12:10 pm
(@niranjana)
Posts: 9
Active Member
 

A?

 
Posted : 20/12/2021 2:50 pm
(@dr-yash)
Posts: 40
Drtellsyou Education Team
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Anti-Psychotic drugs!

 
Posted : 20/12/2021 4:07 pm
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