29: Approach To Neuro Cases

Question 1

Most common HA and most common HA dx

Answer 1

Most common: tension HA

Most common dx: migraine

Question 2

TiTrATE evaluation of dizziness

Answer 2

1. Timing of symptoms
2. Triggers that provoke sx
3. Targeted exam

Question 3

Three main categories of dizziness

Answer 3

1. Episodic
2. Spontaneous
3. Continuous

Question 4

Carotid sinus syndrome

Answer 4

Head rotation + pressure to carotid artery -> stimulation of carotid sinus -> reflexive ventricular pause and possible syncope

Question 5

Vasovagal syncope

Answer 5

Over-correction to stimulus of SNS (panic, pain, etc.) -> rebound overstimulation of PNS -> bradycardia and vasodilation

Question 6

Three classes of syncope

Answer 6

1. Cardiac
2. Orthostatic hypotension
3. Neuro-mediated

Question 7

Three types of peripheral vertigo

Answer 7

1. BPPV
2. Ménière’s disease
3. Otosclerosis

Question 8

Three types of central vertigo

Answer 8

1. Vestibular migraine
2. Cerebrovascular disease
3. Mass at cerebellopontine angle

Question 9

Three other types of vertigo causes

Answer 9

1. Medication induced
2. Psychiatric
3. Orthostatic