AAN stuff Flashcards
Tic doloureux =
Trigeminal neurlagia
MS CSF finding, other than IgG and oligoclonal bands
pleocytosis, w/o elev PMNs, normal glucose, slightly elevated protein
When should concussed athlete play again?
when all sx abate at rest without meds
Semantic problems , i.e. unable to tell difference between things - area of brain?
dominant lateral temporal
Visuospatial problems - area of brain?
nondominant parietal
AED for generalized seizure with least risk of teratogenic effects?
lamotrigine
meds that put at risk for ICP/IIH/pesudotumor cerbri?
TCNs
OCPs
Vit A
steroids
stroke with horner’s syndrome in setting of trauma to head or neck - think?
carotid dissection
affective sx to seizure suggest what brain location?
temporal lobe
qudarantopia - pie in the sky visual loss - where in brain?
meyer loop in temporal lobe
foot drop and wekaness on eversion of foot - nerve affected?
peroneal (likley at fibular head)
REM sleep disorder and acting out dreams can occur before wich disorders? and how long before?
PD and LB, >10 years before
bradycardia in treated Alzheimer patients likley due to ?
side effect of cholinesterase inhibs
first line for diabetic neuropathy pain?
pregabalin
BP cutoff for tPA? ie don;t give if higher than?
185/110
If it looks like MS but no Llhermittes, clean MRI, etc. consider what?
b12 defic
sudden praaysis in young people, check what?
potassium - can be hypo or hyper
unilateral down and out eye is what nerve palsy?
3rd
red, beefy tongue indicates (with neuro sx)?
B12 defic
weakness in supination, elbow flexion, sensation loss over radial forearm - nerve involveed?
musculocutaneous
acute optic neuritis in young man - cause? and cells responsible?
demyleination of optic nerver, oligodendrocytes
Neuromyelitis optica immune treatment depends on presence/absence of what?
anti-aquaporin-4 Ab
Acute/severe shoulder pain unilateral or bilateral progressing to weakness and atrophy of arms (poss sensory deficits too)?
idiopathic brachial plexopathy aka Parsonage-Turner syndrome
dysarthria with limb ataxia (clumsy hand)? type/location of stroke?
lacunar in pons (or internal capsule)
opthalmic artery is branch of ?
internal carotid
median nerve compression: carpal tunnel vs forearm?
CT: thumb abduction weakness
forearm: thumb flexion and abduction weakness, thenar eminence numbness (as does NOT go through CT)
acute onset big flailing movements - name for this and likley infarct location?
hemiballismus, infarct in contralateral subthalamic nuclei (part of basal ganglionic pathway)
TGA therapy (transient global amnesia)?
none/reassurance, even if punctuate foci seen on MRI
myoclonus in someone recovering from cardiac arrest, likely due to?
cerebral anoxia
loss of vertical gaze, loss of pupillary light reflex, nystagmus triggered by upward gaze, lid retraction? likely diagnosis
Parinaud syndrome due to pineal gland tumor (pineocytoma) - usually benign
secondary stroke prevention med for patients with hypercoagulable risk factors (eg a-fib)?
warfarin rather than ASA
acute post stroke care - what to do with blood pressure?
do not adjust to normotensive
Restless Leg Treatment?
It’s a momvemnt prob so dopamine agonists like pramiprexole, then gabapentin
contralalteral motor/sensory deficits, worse in LE than UE, possivle urinary incontinence - stroke location?
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