LESIONS

A Guide to Localisation in Neurology

CASES

The cases are listed below. You can work through them in any order you like - but later cases will tend to assume you have read earlier ones, and not repeat the explanation of the underlying anatomy and clinical features in the same depth.

You can also return to each case at a later stage if you want to revisit it.

When you read the case information, try to think for yourself what the likely diagnosis is - and why - before moving on to the next sections. Take a moment to write down your thoughts, then see how your thought process and answer compares to the worked-through case.

• Case 1. An 80 year old woman with right-sided weakness and inability to speak
• Case 2. An 18 year old man with a clumsy hand
• Case 3. A 32 year old woman with a numb face
• Case 4. A 60 year old woman with progressive lower limb sensory disturbance
• Case 5. A 68 year old man with dizziness and unsteadiness
• Case 6. A 27 year old pregnant woman with headache and involuntary arm movements
• Case 7. An 84 year old woman with a weak hand on waking
• Case 8. A 64 year old woman who kept bumping into things
• Case 9. A 51 year old woman with right-sided numbness, tingling and weakness
• Case 10. An 85 year old woman with headache and hand spasms after a head injury
• Case 11. A 69 year old woman with progressive communication difficulties
• Case 12. A 50 year old man with a floppy ankle
• Case 13. A 78 year old woman with numb hands and stiff legs
• Case 14. A 69 year old woman unconscious with a dilated pupil
• Case 15. A 22 year old woman with dizziness, unsteadiness and a clumsy hand
• Case 16. A 69 year old woman with continuous involuntary movements
• Case 17. A 70 year old man with slurred speech and a deviated tongue
• Case 18. A 50 year old man with double vision and jumping eyes
• Case 19. A 65 year old woman with difficulty remembering things
• Case 20. A 55 year old woman with facial twitching