Table of Contents
Preface vii
Acknowledgements viii
How to Use This Book ix
List of Abbreviations x
Part 1 Basics 1
Basic science 1
Approach to the patient 10
Part 2 Cases 18
Case 1 A 76-year-old man whose hand went weak 18
Case 2 A 60-year-old man with back pain and weakness 22
Case 3 A 25-year-old woman with weakness and tingling in her arms and legs 27
Case 4 A 45-year-old man with uncontrollable seizures 32
Case 5 A 24-year-old woman with headaches and abnormal optic fundi 36
Case 6 A 37-year-old man with sudden severe headache 39
Case 7 A 17-year-old girl who becomes unresponsive after a late night 46
Case 8 A 30-year-old woman found fitting on the train 51
Case 9 A 66-year-old woman with confusion and weakness 54
Case 10 An 18-year-old girl with headache fever and confusion 58
Case 11 A 30-year-old woman with double vision and fatigue 61
Case 12 A 29-year-old woman with tingling weakness of the left arm and leg 67
Case 13 A 45-year-old woman with pain in the leg 70
Case 14 A 29-year-old woman thrown from her horse 73
Case 15 A 67-year-old man who is unsteady on his feet 77
Case 16 A 49-year old man with burning in the feet and difficulty walking 81
Case 17 A 72-year-old woman with memory problems 86
Case 18 A 54-year-old woman with tingling hands 90
Case 19 A 26-year-old woman with right-sided weakness 93
Case 20 A 19-year-old woman with acute headache and tingling 97
Case 21 A 63-year-old man whose hands have got so weak he can’t work 101
Case 22 A 55-year-old woman with episodes of excruciating facial pain 105
Case 23 A 38-year-old man with heaviness of the legs 108
Case 24 An 84-year-old man with confusion and unsteadiness 112
Case 25 A 45-year-old man with constant headache 115
Case 26 A 68-year-old man with a 2-week history of unsteadiness 118
Case 27 A 15-year-old girl with fidgeting movements 121
Part 3 Self-assessment 124
MCQs 124
EMQs 131
SAQs 135
Answers 140
Index of cases by diagnosis 146
Index 147
