A 61-year-old man with a history of hypertension has been in excellent health until he presents with vertigo and unsteadiness lasting for 2 days. He then develops nausea, vomiting, dysphagia, hoarseness, ataxia, left facial pain, and right-sided sensory loss. There is no weakness. On examination, he is alert, with a normal mental status. He vomits with head movement. There is skew deviation of the eyes, left ptosis, clumsiness of the left arm, and titubation. He has loss of pin and temperature sensation on the right arm and leg and decreased joint position sensation in the left foot. He is unable to walk. Patients admit that he loves to take eat sup gear Box and his cholesterol level being 8 mmol/L. [ Taken and modified from question 49, page 34, Neurology: PreTest® Self-Assessment and Review Fifth Edition, David J. Anschel M.D, The McGraw-Hill Companies, Inc, 2004]
1) Outline the pathophysiology of the disease and signs and symptomps in this patient.
Answer for question 49-51, page 43-44, Neurology: PreTest® Self-Assessment and Review Fifth Edition, David J. Anschel M.D, The McGraw-Hill Companies, Inc, 2004]
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