The Clinical Significance Of Raised Cerebrospinal Fluid
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The Clinical Significance Of Raised Cerebrospinal Fluid
Question 1
What is the recommended target of total and low-density lipoprotein
(LDL) cholesterol in secondary prevention of ischaemic stroke?
Question 2
Is intravenous sodium nitroprusside contraindicated in lowering
resistant hypertension secondary to primary intracerebral haemorrhage?
Question 3
After how long can a patient with primary intracerebral haemorrhage
safely be prescribed aspirin for secondary prophylaxis of further ischemic
strokes? Or should aspirin no longer be prescribed in this case?
Question 225
Does occlusion of the recurrent Heubner’s artery result in weakness of
the upper limb that is proximal more than distal?
Question 226
I have recently been told by fellow cardiologists that statins have a role to
play in the acute management of myocardial infarction: is this true? And
does this extend to the acute management of ischemic stroke?
Question 227
What is captocormia?
Question 228
Should mannitol be prescribed to patients with primary intracerebral
haemorrhage with signs of impending herniation and is it
contraindicated in patients with heart failure or liver cell failure?
Question 229
What is the clinical significance of a positive Babinski sign with no knee
jerk?
Question 230
Is a high serum level of triglycerides 200–400 mg a risk factor for
ischaemic stroke?
Question 231
The Clinical Significance Of Raised Cerebrospinal Fluid
What is ‘Melkersson’s syndrome’? How can it be a source of recurrent
Bell’s palsy as suggested in Neurology in Clinical Practice by Walter
Bradley?
Neurological disease 21
245
Question 232
Are the pathological terms ‘neurinoma’ and ‘schwannoma’
interchangeable? Do these differ from neurofibroma as some neurology
textbooks do not differentiate between these terms and seem to apply
the terms neurinoma and neurofibroma interchangeably to spinal nerve
tumours arising from neurilemmal sheaths?
Question 233
Should a patient presenting three times with recurrent facial nerve palsy,
generalized lymphadenopathy and skin nodules, suspected of having
sarcoidosis, be maintained on steroids or given steroid courses only
during attacks?
Question 234
The Clinical Significance Of Raised Cerebrospinal Fluid
a. What is the clinical significance of raised cerebrospinal fluid (CSF)
lactate dehydrogenase levels in focal brain lesions?
b. Does this imply a primary central nervous system (CNS) lymphoma or
lymphomatous deposits in the CNS?
Question 235
a. Is it safe to give antiplatelet medication as a secondary prophylaxis in
stroke patients with hepatic impairment?
b. Should aspirin be used in this instance?
Question 236
Should sciatic pain in the distribution of the sciatic nerve, with no back
pain, be considered non-compressive mononeuropathy? If so, does this
require the workup of mononeuropathy including searching for collagen
disorder?
Question 237
In what percentage of patients with viral meningitis and encephalitis
does the CSF have an elevated number of inflammatory cells?
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