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SA1 - Child Health > Clinic - Neurology > Flashcards

Clinic - Neurology Flashcards

1
Q

Previous cards on epilepsy

A
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2
Q

What is a febrile convulsion?

A
  • Occur up to 6 years and a brief tonic clonic seizure accompanied by a rapid rise in temperature.
  • Usually occy in viral infection and dont lead to epilepsy.
  • Treat the cause of fever - dont give paracetamol
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3
Q

What are the common non epileptic causes of funny turns?

HISTORY IS KEY

A
  • Breath holding attack
  • Refle anoxic seizure
  • Syncope
  • Migraine
  • BBPV
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4
Q

Non epileptic cause of funny turns.

What is a breath holding attack?

A

Occurs in toddlers when upset. Hold breathe until lose consciousness

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5
Q

Non epileptic cause of funny turns.

What is a reflex anoxic seizure?

A

Child becomes pale and falls to floowr and may have tonic clonic seizure.

Usually a trigger eg head trauma, fright, fever, cold food.

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6
Q

Non epileptic cause of funny turns.

What is vasovagal syncope?

A

TloC caused by transient hypotension

Occurs in hot stuffy environemtns or if standing for prolonged time

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7
Q

Non epileptic cause of funny turns.

What is a migraine

A

Aura

Can occur with or without headache

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8
Q

Non epileptic cause of funny turns.

What is BPPV?

A

Characteristic dizziness when turning head

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9
Q

What investigations would you want for funny turns?

A

Colateral history

EEG

24 hour eef

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10
Q

What are the characteristics, treatment and prevention of cluster headaches?

A

Clusters of a few a day for weeks. Have lacrimation, redness,photophobia and eye swelling. INTENSE PAIN

Treat - Triptans and oxygen

Prevention - Prednisolone/Veramapril

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11
Q

What are the characteristics, treatment and prevention of tension headaches?

A

Normal headaches with tight band

Treat with paracetamol or NSAIDS

Prevent with acupuncture

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12
Q

When is an aura a red flag?

A

Over one hour

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13
Q

What is the most common aura

A

Scintillating scotoma

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14
Q

How do you treat an acute migraine attack?

What are the guidelines for pregnancy?

What is the prophylaxis

A

Acute - Aspirin or NSAIDS

+

Triptan

Prophylaxis - Propranolol (give this in pregnancy)/Amitytryptiline/topiremate

Pregnancy - Paracetamol then aspirin or NSAIDS

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15
Q

What is the risk of COCP and migraine with aura?

A

Vascular complications

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16
Q

What can cause an overuse headache?

A

Any analgesia - Stop immediately

17
Q

What are the common characteristics of Idiopathic Intercranial hypertension?

What is the first line treatment?

What is the first line investigaion?

What else could it be?

What is it linked to?

A

Young

Obese

Postural

First line tx - Weight loss, diuretic, stent if vision affected

First line investigation - MRI/LP to look at lumbar opening pressure (normal 18-25cm)

It could be central venous sinus thrombosis

Linked to tetracyclines/steroids

SA1 - Child Health (11 decks)

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