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Neurology and Neurosurgery

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Describe preventive migraine treatment (main classes of medications, indications and duration of treatment).

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20 year old female experiences seizures with loss of consciousness and bilateral convulsions once a month and brief muscle jerks in the arms every morning. Which antiepileptic drug would be most appropriate for her further treatment?
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60 year old female complains of nocturnal tingling and pain in her right hand, mostly I-II fingers. Upon examination you reveal slight hypoesthesia in right I-II fingers and thenar eminence and weakness of right thumb abduction. Which peripheral nerve is affected?
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What is the most common cause

of

intracerebral  hemorrhage?

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43 year old female was brought to hospital from a shopping mall, where she started seizing 1 hour ago. There is no additional information. Status praesens: cyanotic, pupils are symmetrical, light reflex – normal. There are no clear paresis or pathological reflexes. Clonic seizures of the whole body.

Give preliminary diagnosis and further treatment.

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67 year old female with the history of arterial

hypertension and dyslipidaemia is admitted to the Emergency department.

According to her husband, 2 hours ago she suddenly started to mix the words, he

noticed the asymmetry of face. Upon examination you reveal partial non-fluent

aphasia, weakness of lower right facial muscles and moderate (grade 3 MRC)

right hemiparesis. Laboratory: minimal hyperglycaemia (6,8 mmol/L) and

leukocytosis (11,2 ∙ 10

9

/L). Head CT reveals no pathological

changes. Provide the diagnosis and most appropriate treatment.

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31 year old construction

worker complains of intensive low back pain, irradiating to the lateral side of

the left foot. Pain worsens with motion of spine. Examination: lumbar muscles

are tense, more on the left, no muscle weakness, patellar reflexes R=L,

Achilles reflexes R>L, positive straight leg rise at 40* at the left.

Provide the diagnosis (name exact structure of peripheral nervous system

affected) and most appropriate treatment.

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22 year old male had several episodes of loss of consciousness. At first, he feels the situation has already been experienced before, then he does not remember anything. His girlfriend reports that during the episode, he is unresponsive, smacks his lips,

after few minutes slowly recovers.

Name the type of the seizures.

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