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Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Bell's Palsy - Diagnosis ... Unilateral Facial Nerve ... , Lyme, facial nerve ... within 4m #Bells ... #Neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Syringomyelia, Tetanus, Transverse ... Tumor • Motor Nerves ... : ALS, Cervical ... Weakness #Causes #differential ... #diagnosis #neurology
Bell's Palsy on Physical Examination

Bell’s palsy also affects the forehead but CVA spares forehead. Innervation above
’s palsy also affects ... forehead but CVA spares ... Innervation above facial nerve ... Palsy #Forehead #PhysicalExam ... clinical #video #neurology
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CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... Diagnosis Framework ... per μL • Diagnosis ... of the abducens nerve ... #Infections #differential
Types of Facial Paralysis - Peripheral vs Central Lesions

Facial weakness or paralysis may result either from
VII, the facial nerve ... these pathways, as ... #Paralysis #Bells ... #Palsy #Neurology ... #Diagnosis *
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
ï‚§	Most common cause of acute flaccid paralysis
ï‚§	Rapidly progressive ascending paralysis & areflexia
ï‚§	Autonomic
Differential diagnosis ... Multiple Sclerosis: CNS ... prominent cranial nerve ... paralysis but spares ... ï‚§ Transverse myelitis
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
- Vestibular Nerve ... (CN VIII): Vestibular ... often classified as ... Central #Causes #differential ... #diagnosis #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm ... • Neurologic ... suggest a mass as ... #DoubleVision #Differential
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... Pleocytosis > 100 cells ... brain and/or optic nerve ... #management #neurology ... #differential
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Microglial cells ... conditions listed in differential ... activity between nerve ... Lateral #Sclerosis #neurology ... #diagnosis #management