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Inclusionology 04

Topic: Imaging

Created on Monday, February 25 2013 by gliageek

Last modified on Monday, February 25 2013.

The disease process pictured in this slide is most likely to manifest which of the following symptoms/signs?

 
        A) Resting tremor
 
        B) Intention tremor
 
        C) Dysphagia
 
        D) Cogwheel rigidity
 
        E) Ataxia
 

 


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This question was created on February 25, 2013 by gliageek.
This question was last modified on February 25, 2013.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS




A) Resting tremor

This answer is incorrect.


Although Lewy bodies of Parkinson's disease resemble the viral inclusions of rabies, they are not seen within cerebellar Purkinje cells.  (See References)

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B) Intention tremor

This answer is incorrect.


Although the viral inclusions a previous encephalitis are seen within cerebellar Purkinje cells, primary cerebellar degeneration with accompanying symptomatology is not characteristic of this acute illness.  (See References)

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C) Dysphagia

This answer is correct.


The photographs demonstrates a cerebellar Purkinje cell containing Negri/lyssa bodies characteristic of Rabies encephalitis.  (See References)

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D) Cogwheel rigidity

This answer is incorrect.


Although Lewy bodies of Parkinson's disease resemble the viral inclusions of rabies, they are not seen within cerebellar Purkinje cells.  (See References)

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E) Ataxia

This answer is incorrect.


Although the viral inclusions a previous encephalitis are seen within cerebellar Purkinje cells, primary cerebellar degeneration with accompanying symptomatology is not characteristic of this acute illness.  (See References)

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References:

1. Greer, D.M., Robbins, G.K., Lijewski, V., Gonzalez, R.G., Gonzales, R.G., and McGuone, D. (2013). "Case records of the Massachusetts General Hospital. Case 1-2013. A 63-year-old man with paresthesias and difficulty swallowing." N Engl J Med, 368(2) 172-80. (PMID:23301735)
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imaging
Inclusionology 04
Question ID: 022513100
Question written by gliageek. (C) FrontalCortex.com 2006-2009, all rights reserved. Created: 02/25/2013
Modified: 02/25/2013
Estimated Permutations: 120

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