John Libbey Eurotext

Brainstem lesion causing paroxysmal ataxia, dysarthria, diplopia and hemifacial spasm (PADDHS) Volume 21, issue 4, August 2019

TEST YOURSELF

(1) What disease should be included in the differential diagnosis of a paroxysmal event?

A. Migraine aura

B. Focal epileptic seizure

C. Psychogenic disorder

D. A+B+C

(2) Which of these symptoms is not typical of a pons-midbrain lesion?

A. Ataxia
B. Diplopia
C. Convergence retraction nystagmus
D. Decrease in visual acuity

 

 

 

 

 

 

 

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Answers

(1) D.

 

(2) D.

 

(3) No, in the three patients described by the authors, all subjects presented with severe developmental delay, apparently not related to epileptic features.

 

 

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