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nevrologia > kef 32 ogkoi,34,35 > Flashcards

kef 32 ogkoi,34,35 Flashcards

1
Q

gloimata(nevroepithiliakoi ogkoi-kakoithis) kai sixnotita

A

astrokitwma3-4 vathmou-polimorfo gloiovlastwmata> oligodendrogloiwmata kai ependimwmata(paidikis ilikias parakoilika prosthio kai opisthio vothro)

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2
Q

ogkoi pou prosvaloun enilikes sto kns me sixnotita

A

gloiwmata(70%)
minigkiwmata(kaloithis apo araxnoeidi swmatia miniggwn) (10%)
adenwmata ipofisis(10%)
akoustika nevrinwmata(5%)

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3
Q

ti kanei o ios tou poliomatos

A

proodeftiki poliestiaki lefkoegkefalopatheia pou einai prokarkinomatwdis katastasi

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4
Q

ogkos paregkefalidikis gwnias kai perioxi

A

nevrinwma ,iposkinidios ogkos

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5
Q

sindromo tis endokranias ipertasis (piesi 200mmH2o)

A

kefalalgia (me diskapsia pou avksanete me vixa kai epireazete me kiniseis kefalis)
emetos rouketoeidis,oidima optikis thilis me thamvos orasis,diataraxes noitikwn leitourgeiwn,epeiliptiki krisi

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6
Q

ogkoi metwpiaiou lovou

A

antiplevri imipligia me anadisi pathologikou antanaklastikou silipsis, afasia ekpompis,epiliptikes kriseis m diataraxi noitikwn leitourgeiwn, sindroo foster kennedy(atrofia aptikou nevrou omoplevra ,oidima optikis thilis antiplevra),,anosmia omoplevri

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7
Q

ogkoi krotafikou lovou( ipokampos-mnimi-den mporei na mathei tipota kainourio kai amigdali)

A

akoustikes orsfritikes gevstikes diataraxes ,afasika stoixeia wernicke,estiakes epiliptikes kriseis-krotafikou tipou(oxi kinitika fenomaina mono diatarxi sineidisis,omonimi anw tetartokikliki imianopsia(panw deksia) diataraxes mnimis ,prosopikotitas,kentra osfritika gevstika

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8
Q

ogkoi sto telexos

A

epallasousa sindomi,paregkefalidikes diataraxes, endokrania ipertasi ,paralisi egk sizigiwn

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9
Q

se ogkous gfp gwnias poio nevro paraliei

A

to prosopiko

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10
Q

sto ilektroegkefalografima mi eidika evrimata se ogkous imisfairiwn

A

kimmata θkai δ

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11
Q

sto eny neoplasmatika kittara otan exoume

A

karkinomatwdi minigkitida

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12
Q

apoidimatiki agwgi ogkou egkefalou

A

deksamethazoni kai manitoli

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13
Q

eksomielika simptwmata ogkwn

A

rizalgies ,kai atrofies

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14
Q

therapeia ogkwn n m

A

xeirourgiki afairesi (oloi oi eksomielikoi kai aimaggeiovlastwmata ,astrokitwmata merikws)

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15
Q

νεύρωμα Morton (pelmatiaio nevrwma)

A

νεύρωμα επηρεάζει το τρίτο πελματιαίο δακτυλικό νεύρο στην τρίτο μεσοδιάστημα μεταξύ του τρίτου και τετάρτου δάχτυλου (80-85% των περιπτώσεων) και το δεύτερο πελματιαίο δακτυλικό νεύρο στο δεύτερο μεσοδιάστημα (10-15% των περιπτώσεων). Η διόγκωση ή το νεύρωμα συμβαίνει, όταν οι δύο κλάδοι του νεύρου τέμνονται, με αποτέλεσμα να γίνονται παχύτεροι και το πιο πιθανό να παγιδεύονται ανάμεσα στα οστά του ποδιού

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16
Q

pou vriskontai oi metastaseis sto 80%

A

sta dio imisfairia sto orio lefkis faias

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17
Q

paregximatikes esties apo metastasi ston egkefalo

A

pnevmones ,melanwma ,mastoi

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18
Q

pioia ca methistantai episkliridia

A

mastoi prostatis lemfiko

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19
Q

eni stin ipatiki egkefalopatheia

A

avksisi piesis ,lefkomatos kai ksanthoxrwmia

20
Q

se poia egkefalopatheia exoume taftoxrona katastoli(diataraxi epipedou sinidisis) kai diegersi kns(mioklonies tromo tetania epiliptikes kriseis)

A

ouraimiki(auksisi ourias)

21
Q

i egkefalopatheies apo toksikes ousies otan einai oksea kanei- kai otan einai xronia kanei-

A

okseia sigxitiki katastasi ,,,,,ekptwsi noitikwn leitourgeiwn

22
Q

aporofisi b12

A

endogenis paragontas aporofate ston eilaiio

23
Q

eleipsi b12 ston organismo

makrokitariki anaimia-kakoithis anaimia

A

polinevropatheia-mielopatheia,egkefalopatheia,stixeia prosvolis n/m, optiki nevritida

24
Q

aneparkeia theiaminis b1(sinenzimo ston krebs)sidnromo beri beri

A

kanei aisthitikokinitiki polinevropatheia ,miokardiopatheia,

25
Q

me tin vit B6 (piridoksini )kanoume to GABA

A

eleipsi kanei aimodies paraisthisies kavsalgies adinamia periferikis katanomis

26
Q

vit E (antioksidotikos paragontas,se fitika elaia ,laxanika)

A

disaporofisi se ipatiki i pagkreatiki noso ,kai kanei nevrologiki sindomi kai akanthokitara(erithra)…se eleipsi exoume nwtiaioparegkefalidiki ekfilisi kai periferiki nevropatheia

27
Q

se eleipsi theiaminis (p.x logo alkoolikis disaporofisis) poia egkefalopatheia exoume

A

1.egkefalopatheia wernicke ,diagnwstiko katargisi fotokinitikou,diatirisi prosarmogis,asthenis einai SIGXISIme OFTHALMOPLIGIA 2. sindomo korsakoff( entoni apwleia mnimis)

28
Q

delirium tremens(tromodes paralirima)

A

se sterisi oinompnevmatos, giati afto kanei katastoli , se apousia tou to kns einai everethisto ,exei agxos tromo aipnia epiliptikes kreiseis therapeia:glikozi iremistika antiepiliptika

29
Q

sixnoteres metastaseis sto kns

A

pnevmones ,mastos ,melanwma ,xorioepithiliwma

30
Q

logoi pou kanoun egkefalopatheia

A

aneparkeia organwn na apomakrinoun vlaptikes ousies (ipatiki egkefalopatheia-menei i ammonia kai toksikes ousies sto aima) ,eleipsi aparaititwn ousiwn sto kns (ipoglikaimia ipasvestiaimia),ekswgeneis toksikes ousies

31
Q

se ipatiki egkefalopatheia ti ergastiriaka zitoume

A

transaminases ,γ gt,xolerithrini ,epipeda ammwnias ,lefkwmata orou ,xronos prothromvinis,merikis thromvoplastinis

32
Q

oggoi vregmatikoi katalavainoume ton kosmo gyro mas

A

aisthitikes epiliptikes kriseis, antiplevri ipaisthisia, afasia wernicke , agnwstikes kai apraktikes diataraxes

33
Q

iniakos lovos ogkos

A

epilipsia me optikes kriseis

34
Q

iogkos se en to vathei imisfairikes domes

A

antiplevri imiparesi logo esw kapsas , xoreia athetwsi tromo

35
Q

oggo mesi grammi

A

idrokefalo kai entona simeia

36
Q

90% twn ogkwn egkefalou stous enilikes vriskete

A

iperskinidiaka kai mporei na ekdilwthei ws epilipsia i kefalalgia

37
Q

90% twn ogkwn egkefalou sta paidia

A

einai iposkinidios(ependimwma) kai ekdilwnete ws iniaki kefalalgia ,emetos kai otpikes diataraxes

38
Q

therapeia okseias fasis egkefalikou ogkou

A

an exei oidima (kortikoeidi-deksamethazoni) +manitoli ….an exei epilipsia fainintoiini karvamazepini kai anastolea na …an exei idrokefalo paroxetevsi

39
Q

therapeies ogkwn egkefalou makroprothesma

A

xeirourgiki se miniggiwmata kai akoustiko nevrinwma

40
Q

aktinotherapeia

A

profilaktiki kai sta lemfwmata

41
Q

ximeiotherapeia

A

sta gliowmata parigoritika epeidi einai kakoithi

42
Q

exoume kapou ca afto ti genika simptwmata mporei na kanei

A

epidi iparxei ca ,avksanontai ta aftoantiswmata kai kanei aftoanoses egkefalitides ws paraneoplasmatiko sindromo

43
Q

se teratwma othikwn poio antiswma avksanete kai ti vlavi kanei

A

NMDAR kanei metaixmiai egkefalitida kai ekdilwnete ws epilipsia kai PSIXWSIKO SINDROMO

44
Q

eidi paraneoplasmatikwn sindromwn pou ekdilwnontai ston egkefalo

A

aftoanwsa : metaixmiaki egkefalitida ,paregkefalidiki sindromi, egkefalomielitis

45
Q

poia antiswmata ofeilontai se ogko

A

anti yo(apo ca mitras kai epiteithontai paregkefalida) ,hu(pnevmona-Mikrokitariko) ri

46
Q

simptwmata egkefalikwn ogkwn

A

epilipsia ,estiaka eleimata nevroligika,evksimeni endokrania piesi ,kefalalgia ,emetos ,oidima optikis thilis ,meiwsi noitikwn leitourgeiwn ……prwima: mnimi sinaisthima kai sigkentrwsi..opsima : vradipsixismo apatheia kai meiwsi sinidisis

47
Q

se vlavi metwpiaiou lobou (ogkou ) ti exoume

A

kinitika fainomena epilipsias(klonos) , prwimi diataraxi noitikwn leitourgeiwn,apatheia ,arsi anastolwn,antiplevri imipligia ,antiplevro antanaklastiko silipsis,diataraxes ourisis afasia broca anosmia

nevrologia (21 decks)

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