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Restless Legs Syndrome

#The Neurology Question: True & False: Restless Legs Syndrome Symptoms start with sleep Dystonia and myoclonus Symptoms aggravate with dopaminergic agonist Normal Brain MRI Sensory symptoms on awakening (Source: The Neurology: Self-Assessment & Review By Dr. Sunil Kumar , www.theneurology.org ) Reference: Picchietti DL, Stevens HE. Early manifestations of restless legs syndrome in childhood and adolescence. Sleep Med. 2008;9(7):770-781. Restless legs syndrome affects approximately 10% of the adult population. Clinical Features The four core symptoms required for diagnosis are as follows: An urge to move the legs: usually caused or accompanied by an unpleasant sensation in the legs Symptoms begin or worsen with rest Partial or complete relief by movement Worsening during the evening or night Symptoms most commonly begin in the legs, but can spread to or even begin in the upper limbs. The unpleasant sensation is often...

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Syncope

Introduction: Syncope is a sudden, transient loss of consciousness. It recovers rapidly without any neurological sequel. It is because of transient hypo-perfusion of the brain. It should be differentiated from convulsive seizure. Differentiating Features Between Syncope & Convulsive Seizure Syncope Precipitating Factors Prolonged standing Voiding of urine Prolonged coughing Prolonged fasting Alcohol intoxication Strong emotional reaction Premonitory Symptoms Dizziness Lightheadedness Excessive perspiration Epigastric discomfort Blurring of vision or blackout Facial pallor Paresthesia Others Posture of the patient: Mostly occur in standing posture Progression of unconsciousness: Mostly immediate Duration of episode: Loss of consciousness occur for few seconds Tongue bite: Rarely Involuntary jerking movements of limbs: Rarely Ictal urinary incontinence: Rarely Post-ictal headache: Rarely Convulsive Seizure Precipitating factors: Usually none Premonitory Symptoms: Aura or Déjà vu Po...

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The Neurology: An Objective Based Learning! Welcome to The Neurology! Dr. Sunil Kumar founded " The Neurology " in April 2011. The Neurology website is an educational objective based learning portal for neurology aspirants. It provides comprehensive, up-to-date, objective based frequently asked multiple choice questions in the neurology entrance examination paper. The Neurology: Self-Assessment And Review provides a complete neurology question bank. Use of this website implies acceptance of our terms and conditions. This website is predominantly focused to provide study material for neurology aspirants. The purpose of this website is to share the knowledge and boost the academic interest among neurology aspirants. Interested neurology aspirants are invited to contribute their content to the “The Neurology” site. Participate ⁂ Discuss ⁂ Share  Best Wishes The Neurology Team

The Neurology: Self-Assessment & Review

The Neurology: Self-Assessment & Review