Case files Flashcards
Most common inheritance pattern of essential tremor
Autosomal dominant
Treating essential tremor
Beta blockers
Primidone
Treating chorea in Huntingtons
High potency neuroleptics - haloperidol
Dopamine depleting agent - tetrabenazine
What is opisthotonos?
Great rigid spasm of the body with the back fully arched and the heels and head bent back
Treating dystonia
Levodopa Benzos Baclofen Trihexyphenidyl High freq stimulation of GPi by deep brain stimulation
Cardinal features of Parkinson’s disease
Resting tremor
Rigidity
Bradykinesia
Postural instability
Imaging in spinocerebellar ataxia
High T2 signal in the cerebellar cortex on MRI
Risk factors for tardive dyskinesia
Advanced age
Female gender
Coexistent brain damage
Immediate treatment of traumatic spinal cord injury
Maintenance of oxygenation and spinal cord perfusion
Hallmarks of delirium
Cognitive impairment
Impaired attention
Fluctuating course
Common medications to treat delirium
Lorazepam
Haloperidol
Risperidone
Grade 1 concussion
No loss of consciousness
All symptoms resolve within 15 min
Grade 2 concussion
No loss of consciousness
Symptoms last longer than 15 min
Grade 3 concussion
Loss of consciousness
Imaging in essential tremor
Increased uptake in thalamus in PET imaging
What is Todd’s paralysis?
A brief period of temporary paralysis following a seizure
Most common etiologies of ischemic stroke
Cardiac embolism
Large vessel atherosclerosis
Small vessel intracranial occlusive disease
When is anticoagulant therapy favored over anti platelet when treating ischemic stroke?
When afib is present
Lab chem associated with subarachnoid hemorrhage
Hyponatremia
Complications associated with subarachnoid hemorrhage
Neurogenic pulmonary edema
Vasospasm
ECG changes - QT prolong, t wave inv, arrhythmia
Bilateral seizure but maintained consciousness
Pseudo seizure
Altered mental status, feelings of deja vu and lip smacking
Complex partial seizure
Initial medication for chronic daily headache
Sodium valproate
