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Dr_SINBOONA_ARARSA_KENENI_SHORT_PEARLS_ON_MEDICAL_CASES_EDITION

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22. Yoga exercise +neck pain + occipital

headache + numbness of face + loss of pain and

temperature ipsilateral + nausea ,vomiting

vertigo +nystagmus is =Vertebral artery

dissection

diagnostic test is =MRA brain

23. Peripheral neuropathy + sensorneural

deafness +anosmia +cerebral ataxia + pes

cavus+ night blindness+ cardiomyopathy +

retinitis pigmentosa + short 4th and 5th toe

+high phytic acid is = Refsum's disease

24. Multiple nerves involvement + conduction

blocks + fasciculation + sensory exam normal +

reflexes normal +anti GM1 antibodies high

=Multifocal motor neuropathy treat with

immunoglobulin's

25. Headache ,vomiting +local infection

sinusitis + perioribital oedema +

opthalmoplegia 6th CN+ 3rd and 4th nerve +

5 CN hyperaesthesia if upper face and eye

pain is=Cavernous sinus thrombosis

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