Botulism [top]

  • Diplopia, bulbar palsy, descending paralysis
  • Dry mouth, postural hypotension
  • Abdominal cramps
  • Contaminated canned food
  • Incubation 12-36 hours

Vertibrobasilar insufficiency [top]

  • Ischaemia of posterior fossa due to vertebral artery occulsion
  • Classical history is of kinking of neck at hairdresser or turning the neck
  • Symptoms are Dizziness, vertigo, diplopia