Question
Q1 Are anticholinergics the first line of treatment for primary torsion dystonia? Q2 Can multiple sclerosis (MS) be associated with lack of vitamin D, lack
Q1
Are anticholinergics the first line of treatment for primary torsion
dystonia?
Q2
Can multiple sclerosis (MS) be associated with lack of vitamin D,
lack of sunlight or low fish/cod-liver oil in the diet? By looking at the
epidemiology (none at the equator; more outside 40 latitude, both north
and south; less on top of Swiss mountains than in the Swiss valleys; more
in fishing coastal towns and in Eskimos) this seems to be very important.
Vitamin D modulates the immune system and active vitamin D given
to rats with experimental MS (acute encephalomyelitis) lowers the
monocyte count in cerebrospinal fluid (CSF) by 90% in 72 hours with
return of power to their limbs. Japanese MS patients who ate plenty of
fish were found to have vitamin-D-receptor pleomorphism. The staple
grains and cereals (wheat, barley, oats) eaten in Scandinavian and
northern European countries contain phytic acid, which blocks vitamin D
absorption, and rice is the only cereal free of phytic acid.
Are there any studies where low vitamin D levels in blood are
associated with MS relapse?125
Q3
What are the diagnostic criteria of 'definitive' multiple sclerosis (MS) - as
taught to a medical student? We have found different information from
different sources.
Q4
How reliable is a CT-brain scan with contrast in showing MS lesions as
enhancing lesions in the presence of a contraindication to use MRI?
Q5
Is magnetic resonance (MR) spectroscopy of value in differentiating
multiple sclerosis from cerebral autosomal dominant arteriopathy with
subcortical infarctions (CADASIL)?
Q6
Is there evidence of the efficacy of cyclic pulse cyclophosphamide
therapy in the treatment of relapsing-remitting multiple sclerosis?
Q7
Glatiramer acetate and interferon-beta are recommended by some people
for the treatment of multiple sclerosis. Which drug should I use for a
patient with a 2-year history of relapsing-remitting MS.135
Q8
1. Most neurological books available to me say that high-dose IV
dexamethasone can be used in acute relapses of multiple sclerosis
(MS). What is the recommended dosage and regimen for this drug?
2. I understand that depot preparations of betamethasone (Depofos)
can also be used in acute relapses of MS, as well as treatment for
idiopathic Bell's palsy. If so, can you tell me the recommended dosage
and regimen for this drug?
Q9
What are the most common causes of chronic meningitis and what
investigations must be done?
Q10
What is Hib meningitis?
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started