Question 19 -
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Horner’s Syndrome: miosis, eNophthalmous, ptosis and ipsilateral loss of sweating (anhydrosis) due to interruption of face’s sympathetic supply eg at brainstem (demyelination, vasc dis), cord (syringomyelia), thoracic outlet (Pancoasts tumour) or on the sympathetic nerves trip on the internal carotid (carotid aneurysm)
Question 20 -
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Motor neuron disease is a progressive degenerative disease of upper and lower MOTOR neurons in the spinal cord, cranial nerve motor nuclei and within the cortex.(spinothalamic = sensory)
M:F = 3:2
Symptoms usually present between the ages of 50-70, and include progressive weakness, muscle wasting, and muscle fasciculations; spasticity or stiffness in the arms and legs; and overactive tendon reflexes. Patients may present with symptoms as diverse as a dragging foot, unilateral muscle wasting in the hands, or slurred speech.
Degeneration is of motor neurons only not cognitive impairment.
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