Block 72: Neurology Flashcards
what causes normal pressure hydrocephalus
decrease in CSF absorption
What causes Parkinsonism
- overactivity of cholinergic neurons
- underactivity of dopaminergic neurons in substangia nigra
waddling gait seen in
muscular dystrophy
CSF for Guillain-Barre
elevated proteins
everything else is normal
what should you suspect in a young obese female with a headache that is suggestive of a brain tumor, but with normal neuroimaging and elevated CSF pressure
Pseudotumor cerebri (idiopathic intracranial hypertension)
Treatment for pseudotumor cerebri
weight reduction
acetazolamide
How is the variant of frontotemporal dementia differentiated from other dementing illnesses
early personality changes
compulsive behaviors
earlier stage of onset
strong hereditary component
when looking at a CT which side the patients right and left
left side of CT is patient’s left
hemiplegia
paralysis of one side of body
acute exacerbation of MS with disabling neurologic symptoms are treated with? 2nd line?
glucocorticoids
- plasmaphersis
Chronic maintenance therapy in MS patients with relapsing-remitting or secondary, progressive forms of MS
interferon beta or glatiramer
role of Baclofen
muscle relaxant
what are lewy bodies
eosinophilic intracytoplasmic inclusions
progressive bilaterally symmetric hearing loss (high-pitch) with subjective tinnitus, advanced age, and absence of other neurologic signs suggest
presbycusis (age-related hearing loss)
vertigo, unilateral tinnitus, sensorineural hearing loss
acoustic neuroma
Vertigo, tinnitus, sensorineural hearing loss
Meniere disease
progressive conductive hearing loss with a normal otoscopic examination
otosclerosis
- Loss of pain and temperature over ipsilateral and contralateral body
- ipsilateral bulbar muscle weakness
- vertigo/nystagmus
- ## Horner’s syndrome
Wallenberg syndrome
Lateral medullary infarct
mini mental status exam has a score of what for dementia
24/30
acute painless monocular vision loss that persists for several hours
central retinal artery occlusion
fundoscopy for central vein occlusion
- dilated and tortuous veins , scattered and diffuse hemorrhages
- disk swelling
Progressive mulitfocal leukoencaphalopathy
JC virus
patient with Parkinsonism experiences orthostatic hypotension, impotence, incontinence or other autonomic symptoms
multiple system atrophy
riley-Day Syndrome
Ashkenazi jewish ancestry
- severe orthostatic hypotension
