Reference no: EM133861864

Assignment:

An individual who has cancer is often totally unaware of having the disorder and is not ill until after many years of growth of the tumour, during which time it has caused no symptoms. The term illness implies discomfort or inability to function optimally. Hence it is a subjective state of lack of well-being produced by disease. Regrettably, many diseases escape detection and possible cure because they remain symptomless for long years before they produce discomfort or impair function.

1. Is there any rationale for giving either propranolol, valproate or buspirone to patients with cerebellar ataxia?

2. Is there a laboratory marker for cerebral dominant arteriopathy with subcortical infarcts and leucoencephalopathy (CADASIL)? Is serum lactic acid elevated?

3. Primary brain tumours rarely metastasize outside the brain but malignancies outside the brain frequently metastasize to the brain. Why?

4. In a case of brain tumour, can papilloedema occur without a headache?

5. What are the pathological diagnostic features of glioblastoma multiforme?

6. Is acetazolamide effective in cases of normal pressure hydrocephalus? How effective is low-dose digoxin?

7. If dementia and incontinence are present, but gait apraxia is not, can normal pressure hydrocephalus be diagnosed?

8. Is a normal CT (plain and with contrast) in patients with headache, bilateral papilloedema and a clear conscious level sufficient to diagnose benign intracranial hypertension?

9. What is the value above which cerebrospinal fluid (CSF) pressure is said to be raised?

10. Could benign intracranial hypertension be diagnosed without headache as a complaint?