Dr Kimber Flashcards
See cerebellar signs with dementia, think
MSA
Most likely epilepsy drug to have adverse psych effects
Topiramate
Also Keppra
Difference between polymyositis and steroid myopathy on EMG
polymyositis insertional activity
Can steroid myopathy cause resp weakness
yes
Old PD person with psychosis
stop dopamine agonist first
then pull back on levodopa
Carotid artery dissection cause lateral medullary syndrome?
can cause a horners but not the other stuff of lat medullary syndrome
hypoglossal can be knocked out too
pulsatile tinnitus
carotid artery dissection
if this happens, can have arm weakness not from any brainstem problem but because stroked out in area supplied cortically!!
CSF protein in ALS
normal
what do you SEE in IBM?
lots of wasting
NORMAL reflexes
Any predominantly motor neuropathy can get a mild raise in…
CK
If wasting with a neuropathy points to…
axonal loss
extradural shaped like a
lens!
acute vs chronic SDH?
acute is hyperdense on CT (like blood)
chronic is black lookin
What do you not see on FLAIR
acute ischaemia
LEMS reflexes vs MG
depressed in LEMS
In MG more occular and bulbar involvement
In MG, less likely to have leg involvement
MS- HLA…
HLA BRB1
Aching sole of foot and tinnel sign over medial malleolus- which nerve
posterior tibial
Which virus does bells palsy
HSV1
Poor EMG prognosis for Bells palsy
axonal degeneration
DBS improves what symptoms
on off
tremor
dyskinesias
not much on balance, gait, speech
