CLIPP 20 Flashcards
describe a tension headache
episodic pain that feels like a band around the head
episodic that generally worsens throughout the day
What is the most common cause of recurrent headache in children?
migraines
are migraines more or less severe than tension headaches? What are some common symptoms that accompany the headache?
more severe than tension headaches
throbbing pain accompanied by photophobia and/or phonophobia, abdominal pain, nausea, and vomiting
describe cushing’s triad
hypertension
bradycardia
bradypnea
what is the differential for acquired ataxia?
post-infectious cerebellitis (most common)
infectious cerebellitis
Medication or toxin
intracranial mass
opsoclonus-myoclonus syndrome
Migraine headache
hydrocephalus
Metabolic disease
Psychiatric illness
if a lesion is within the vermis of the cerebellum, what kind of symptoms will result?
dysarthria
truncal ataxia
gait abnormalities
if a lesion is in a specific hemisphere of the cerebellum, what kind of symptoms will result?
ipsilateral limb abnormalities
nystagmus
tremor/dysmetria
if a lesion is deep within the cerebellum nuclei, what kind of symptoms will result?
resting tremor
myoclonus
opsoclonus
how do infratentorial lesions usually present?
cerebellar signs and signs of increased ICP
how do cerebellar hemispheric lesions usually present?
changes in muscle tone and DTRs usually causing hypotonia and hyporeflexia
How do supretentorial lesions usually present?
commonly lead to focal motor and sensory abnormalities on the opposite side of the lesion
how do brain stem tumors often present?
cranial nerve and gaze palsies
Is CT imaging good for visualizing the posterior fossa?
no. MRI is best
