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CONTENTS
NEUROLOGY - NEUROSURGERY ............................................... .................................................. ..........
7
PSYCHIATRY ......................................................... .................................................. .............................
121
EAR - NOSE AND THROAT DISEASES ............................................ ................................... 153
EYE DISEASES ................................................ .................................................. ................ 187
UROLOGY ..................................................... .................................................. ................................ 213
azothiopyrine, IgG and thymectomy. TOLOSA-HUNT SYNDROME Tolosa-Hunt syndrome presents with
cavernous sinus / superior orbital fissure presenting with painful ophthalmoplegia.
idiopathic granulomatous inflammatory disease. There is involvement of one or more cranial nerves 3, 4, 6,
and 5 of the ophthalmic and maxillary branches of the 5th cranial nerve accompanying unilateral orbital
pain. Diagnosis: Cranial MRI Clinical Course: Tolosa-Hunt syndrome is a rare condition and should be
considered as a first-line diagnosis in patients presenting with unilateral painful ophthalmoplegia, and
responding dramatically to steroid treatment in a short period of time. Treatment: Steroid
(Answer C)
35. Which can be seen several times in a row and intermittently
is a disease characterized by motor or vocal tics? (April 2006)
A) Sydenham's chore B) Tourette's disease
C) Parkinson's disease D) Tardive dyskinesia
E) Huntington's disease
Tourette Syndrome
TS typically begins between the ages of 5-7. Most patients describe tics as unpleasant sensations, such as
tension, or as increased sensitivity to specific parts of the body. Recognizing tics
time is not easy. Tics need to be distinguished from involuntary hyperkinesias. Muscle twitches around the
eyes and fasciculations of the muscle bundles are not teak. In addition, speech obsessions, magnerism
(such as in autism), stereotypes and mental movements in people with mental disorders may be confused.
Tick symptoms vary widely. Tics are often defined as sudden, stereotypic, involuntary movements in
coordinated muscle groups that tend to occur in seizures. The most common tics; excessive blinking (often
associated with short-term blepharospasm), throat clearing, nodding, and facial wrinkles. It occurs mostly in
the upper parts of the body, and is rarely seen in the trunk and lower extremities.
32
TUSTIME ALL TASS QUESTIONS
NEUROLOGY - NEUROSURGERY