Chapter 17.rtf - 1.A 28-year-old book editor comes to your clinic complaining of strange episodes He states that about once a week for the last 3 months

Chapter 17.rtf - 1.A 28-year-old book editor comes to your...

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1.A 28-year-old book editor comes to your clinic, complaining of strange episodes. He states that about once a week for the last 3 months his left hand and arm will stiffen and then start jerking. He says that after a few seconds his whole left arm and then his left leg will also start to jerk. He denies any loss of consciousness or loss of bowel or bladder control. When the symptoms resolve, his arm and leg feel tired but otherwise he feels fine. His past medical history is significant for a cyst in his brain that was removed 6 months ago. He is married and has two children. His parents are both healthy. On examination you see a scar over the right side of his head but otherwise his neurologic examination is unremarkable. What type of seizure disorder is he most likely to have?A)Generalized tonic–clonic seizureB)Generalized absence seizureC)Simple partial seizure (Jacksonian)D)Complex partial seizureAns:CFeedback:Simple partial seizures start with a unilateral symptom, involve no loss of consciousness, and have a normal postictal state. In a Jacksonian seizure the symptoms start with one body part and “march” along the same side of the body.2.A 7-year-old child is brought to your clinic by her mother. The mother states that her daughter is doing poorly in school because she has some kind of “ADD” (attention deficitdisorder). You ask the mother what makes her think the child has ADD. The mother tells you that both at home and at school her daughter will just zone out for several seconds and lick her lips. She states it happens at least four to six times an hour. She says this has been happening for about a year. After several seconds of lip-licking her daughter seems normal again. She states her daughter has been generally healthy with just normal childhood colds and ear infections. The patient's parents are both healthy and no other family members have had these symptoms.What type of seizure disorder is she most likely to have?3.A 37-year-old insurance agent comes to your office, complaining of trembling hands. Shesays that for the past 3 months when she tries to use her hands to fix her hair or cook theyshake badly. She says she doesn't feel particularly nervous when this occurs but she Page 1
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worries that other people will think she has an anxiety disorder or that she's a drinker. Sheadmits to having some recent fatigue, trouble with vision, and difficulty maintaining bladder control. Her past medical history is remarkable for hypothyroidism. Her mother
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  • Fall '18
  • Neurology, PAST MEDICAL HISTORY, Tremor, absence seizure, intention tremor

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