2.10 Acute Neuro Event

Question 1

Acute Neurological Event most often associated with…

Answer 1

Associated with stroke.

Question 2

Acute Neuro events triggered by Toxic

Answer 2

Metabolic, Drugs, ETOH, DM

Question 3

Examples of Focal Acute Neurological events

Answer 3

Stroke, Partial Seizure, Structural

Question 4

Generalized Neurological Events: Ischemic

Answer 4

Hypoxic events/Hypo-perfusion

Question 5

Generalized neuro events: Encephalitis

Answer 5

Infectious, Paraneoplastic/autoimmune

Question 6

A 40 year old man suddenly develops a severe HA and then collapses. In the ED, he is obtunded and has nucal rigidity but has no other abnormal physical neuro findings.

Most likely diagnosis is: 
A: Ischemic stroke 
B: Bacterial Meningitis 
C: Herpes Simplex Encephalitis 
D: Subdural Hematoma 
E: Subarachnoid hemorrhage

Answer 6

E: Subarachnoid hemorrhage

Question 7

A 40 year old man suddenly develops R sided weakness and difficulty with speech. In the ED, he is found to have weakness of his R arm and hand (grip) as well as ataxic gait and is unable to form words

Which of the following diagnostic studies is the most appropriate next step:

A: CT of brain with contrast
B: CT of brain without contrast
C: MRI of brain 
D: MRA of brain 
E: US of carotid arteries

Answer 7

B: CT of brain without contrast

Sudden event.