Romberg test
Romberg test initially described in tabes dorsalis; now as a feature of all proprioceptive disorders of the legs or neuropathies involving dorsal columns.
Category Neurology
Parry-Romberg syndrome
Parry-Romberg syndrome: progressive facial hemiatrophy usually involving the soft tissues of one side of the face. Parry (1825) Romberg (1846)
Friedrich Daniel von Recklinghausen
Friedrich Daniel von Recklinghausen (1833 - 1910) was a German pathologist. Eponymously affiliated with von Recklinghausen disease (neurofibromatosis NF-1); von Recklinghausen tumor (adenoleiomyofibroma); and von Recklinghausen canals (lymphatic canaliculi).
Raised Intracranial Pressure
ECG changes seen with raised intracranial pressure (ICO) / intracranial haemorrhage and subarachnoid haemorrhage with ECG examples
Bell’s palsy
Bell’s palsy: Acute idiopathic unilateral paralysis of the facial nerve. Named after Sir Charles Bell and his description in 1827
Argyll Robertson pupils
A reflex iridoplegia characterized by small, irregular, unequal pupils, with near-light dissociation; absence of a miotic reaction to both direct and consensual light with preservation of the accommodation reflex. Classically associated with neurosyphilis.
EMI 018 Cranial Nerves Song
A 10 minute medley of neurological wonder - thought it would be worth sharing this little ditty on cranial nerves to awaken your inner geek!
Why do we get to treat so few strokes?
Rick Abbot is back at last, with the tale of his own potential neurological catastrophe - with musings on delayed ED presentations and the quality of neurological physical examination.
a perplexing paradox…
The case. a 70 year old female is bought to your ED at 10pm via ambulance with a dense right-sided hemiparesis following a witnessed collapse at home only 30 minutes earlier.
a splitting headache…
the case. 39 year old female presents to your Emergency Department with a four day history of a gradually worsening headache. Whilst she has a past history of migraines, this headache is much more severe and of different character to any migraine…
pupils predict pathology…
the case. A 34 year old male is bought to your ED with reduced level of consciousness. He was at a restaurant having dinner with family & friends when he excused himself to use the bathroom. They found him 15 minutes later…
tPA – black and white or shades of grey?
This is a micro-post just to illustrate yet another problem with the Boehringer Ingelheim/Neurology juggernaut pushing the Emergency Medicine community towards lysing anyone with a tingle.