DrVirgo
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A 34 year old female flight attendant presents with a recurring, sharp pain radiating from her left ear to her mouth. She describes the pain as intense but intermittent, precipated by cold, light tough, and chewing. Neurologic exam is normal. A tentative diagnosis of trigeminal neuralgia si made, and carbamazapine is prescribed. She returns 6 weeks later complaining of the same pain on both sides of her face and a new onset of urinary incontnience. Which of the following is the most likely diagnosis?
A. Acoustic Neuroma
B. ALS
C. Bell Palsy
D. Multiple Sclerosis
E. Myasthenia Gravis
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| sprint123
Forum Guru
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Unrelated neuro findings--->Multiple sclerosis??
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| CocaCola
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d - multiple sclerosis
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| Adam
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ya it's probably MS
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| dr in trouble
Forum Guru
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I think it can b bilat. aucostic neuromas
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| prathapdoctor
Forum Elite
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Except MS, all the other options dont cause urinary incontinence, but I am not able to explain the findings to MS completely. By exclusion, I would go for MS.
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| DrVirgo
Forum Hero
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D. MS is right.
Multiple neuro findings separated by time and location.
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