Take the latest #NeurologyRF 🧠 quiz!

A 76-year-old man was referred for evaluation of a 3-year history of language difficulties. The patient's family and colleagues noted he had difficulty with naming and verbal recall. 🧵 Neurologic examination revealed involuntary movements of his fingers and shoulders and impulsive and disinhibited behaviors. Repetition and speech production were spared, but confrontational naming, single-word comprehension and object knowledge were impaired.

#NeurologyRF🧵: Patient presents with wrist drop without history of traumatic, infectious, or exercise-related symptoms. Exam shows 4/5 weakness of elbow flexion in mid-pronation, wrist extension & finger extension. What motor function would you test next to localize the lesion? You test elbow extension to assess the integrity of the radial nerve where it innervates the triceps muscle and find the strength is full. Where do you localize this lesion?

Take the latest #NeurologyRF quiz: A 43-yr-old woman presented with altered mental status and hypertension. She had a 3-day history of oliguria. Blood testing detected microangiopathic hemolytic anemia, thrombocytopenia, and severe kidney injury.

Pictured: Admission brain MRI Shiga-like toxin and ADAMTS13 autoantibodies were absent. Normal ADAMTS13 activity and renal biopsy were consistent with atypical hemolytic uremic syndrome with neurological involvement.