• Things I got wrong

• Severe, frequent migraine - Paracetamol not working
• Amitriptyline
• Brain tumors look a bit like haemorrhage on CT
• But they have OEDEMA around them
• Numbness in R leg, spreading to both legs and arms over 4 days, with UMN signs
• Acute MS
• Sudden onset N+V with severe headache; Gets better; CT normal
• Do an LP
• Not sure why
• Drug-induced tremor and rigidity in L arm?
• Metoclopramide (dopamine antagonist)
• Not carbamazepine (stabilizes the inactivated state of Voltage-gated sodium channels)
• Acute endocrine dysfunction following TBI?
• SIADH
• Feature suggesting generalised seizure
• Tongue-biting > Urinary incontinence
• 64 year-old smoker, gradually progressive tremor, worse when using hands, worse on left
• Essential tremor
• Thrombolysis of acute ischaemic stroke
• Alteplase ONLY
• No anti-platelets or heparin

Other notes

• Cerebral salt-wasting syndrome (CSWS)
  
• Rare endocrine condition featuring hyponatremia and dehydration in response to trauma/injury or the presence of brain tumors
  
• DLB
• Ffluctuating cognition with great variations in attention and alertness from day to day and hour to hour
• Recurrent visual hallucinations
• Motor features of Parkinson's
• Parkinson's plus (with extra features)
  
• Multiple system atrophy
• Progressive supranuclear palsy
• Corticobasal degeneration
• Dementia with Lewy bodies?
• Synucleinopathies vs tauopathies