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nevrologia > kefalaio 23 (meros 4) > Flashcards

kefalaio 23 (meros 4) Flashcards

1
Q

triti sixnotita thanatou ston ditiko kosmo

A

aee(kardiagkeiaka ,ca)

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2
Q

aee sixnotera..

A

stous andres ,anw 55

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3
Q

i endokrania piesi pia piesi avksanei

A

tin fleviki

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4
Q

aee

A

80% isxaimika, 20% aimoragika(12%endoegkefaliki aimoragia,8% eksagkeiwsi ston ip xoro epomenos iparaxnoeidi aimoragia)

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5
Q

se vlavi prosthias egkefalikis exoume(aimatwnei esw epifaneia egk imisfairiou ews parakentro lovio elegxei katw akro kai akrateies):

A

paralisi kai diataraxi en to vathei aisthitikotitas tou antiplevrou katw akrou,akrateia ourwn(paralisi periferikou tmimatos katw akrou,provlima sto paxi entero ,alla kai piramidiki sindromi )

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6
Q

mesi egkefaliki,anion kladoi(einai floiwdeis,metwpiaio kai vregmatiko) :

A

perioxi broca kai+ kinitikotita kai aisthitikotita twn antiplevrwn :prosopou kai anw akrou

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7
Q

mesi egkefaliki kation kladoi(floiwdeis ,

A

perioxi wernicke + agnwsies kai apraksies,optiki aktinovolia(omoplevri katw tetartokikliki anopsia)

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8
Q

mesi egkefaliki ,diatitrainontes kladoi (vasika gagglia kai esw kapsa epomenws den exoume imianopsia afasia kai aisthitikes diataraxes)

A

antiplevri imipligia(katw meros prosopou,omotimi prosvoli anw kai katw akrou(arxika xalari paralisi kai argotera spastiki)

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9
Q

se monoplevri okseia stenwsi esw karotidas exoume

A

apofraksi ofthalmikis aririas omoplevra(thamvos orasis-amavrosis fugax) kai inteplevri adinamia kai aimwdia logo isxaimias mesis kai prosthias egkefalikis=> xiasti optikopiramidiki sindromi

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10
Q

pote exoume locked in syndrome

A

se isxaimia vasikis artirias ,giati afti nevrwnei tin gefira ,pio panw leitourgei to kino kinitiko

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11
Q

vlavi sto stelexos exoume… sindromi

A

epalasousa (vlavi egkefalikwn sizigiwn omoplevra kai kinitikwn i aisthitikwn diataraxwn antiplevra)

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12
Q

isxaimia mesegkefalou

A

prosvoli koinou kinitikou,apoklinwn stravismos

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13
Q

isxaimia opisthias katw paregkefalidikis–>isxaimia promiki(sindromo wallenberg pou einai epalasousa)

A

kai isxaimia aithousiaou =>peristrofikos iligkos naytia emetoi,dislitourgeia 9 10 c.n

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14
Q

isxaimia paregkefalidas

A

zali nautia emetos nistagmos ,paregkefalidiki ataksia ,kai apo oidima tis piesi sti gefira

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15
Q

ct gia isxaimiko aee poso xrono thelei na fanei

A

48 h(ipopikni perioxi me safi oria)

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16
Q

likofotiki perioxi

A

i perioxi pou ardevete apo dio artiries ,afti tou isxaimikou kai apo kapoia alli giafto ta kittara tis ipoleitourgoun

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17
Q

mri isxaimikou aee

A

se liges wres t2 avksimeni entasi ,t1 meiwmeni

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18
Q

antimetwpisi okseias egkefalikis isxaimias

A

anapnevstiki leitourgeia ,kardiaki leitourgeia ,artiriaki piesi (oxi apotomi meiwsi),amesi antimetwpisi piretou ,isizigio igrwn(xorigisi isotonwn dialeimatwn) ,oxi dialimata glykozis giati avksnoun to galaktiko kai zwtika

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19
Q

epiplokes okseos isxaimikou ee

A

piretos ,limwkseis (pnevmonon kai ouropoitikou) , katakliseis ,iperglykaimia(apo ekrisi kortizolis kai katexolamines) ,en to vathei flevothromvwsi,miokardiopatheia

20
Q

nevrikos kindinos okseos isxaimikou ee

A

na egkoleasei logo avksimenou egkefalikou oidimatos(diaskinidiaka),epipedo sinidisis,metaptwsi isaimikou kai aimoragiko

21
Q

defterogeni prolipsi (isxaimikou aee) (dld aftoi pou to pathan na min ksanapathoun deftero)

A

antiaimopetaliaka opws aspirini klopidogreli tiklopidini

22
Q

pws onomazontai oi perioxes pou aimatwnountai apo telikous kladous artiriwn

A

methories zwnes

23
Q

epiplokes aimoragikou aee apo riksi anevrismatos

A

idrokefalos logo flegmonodou antidrasis,agkeiosispasmos(4-12d) , epanemfanisi riksis

24
Q

antimetwpisi agkeiosispasmou aimoragikou aee

A

nimodipini(ca channel blocker)

25
Q

antimetwpisi egkefalikou anevrismatos

A

xeirourgeio kai klinostatismos gia 4w

26
Q

prognwsi iparaxnoeidous aimoragias

A

30% paithanoun prwto 24 kai 40% paithanoun tin prwti evdomada

27
Q

aimatwsi egkefalou apo poious kladous

A

2/3 karotidiko kai 1/3 spondilavasiko (15% tis kardiakis p)

28
Q

thromvwsi kai emvoli pou na kanei estiaki egkefaliki isxaimia kanei i _

A

athirwmatiki nosos twn megalwn agkeiwn (koini kai esw karotida)

29
Q

tipoi isxaimikwn aee

A

parodiko(24H prili apokatastasi),anastrepsimo(>24h pliri apokatastasi) ,ekselissomeno (epidinwsi kata tis prwtes meres),egkatestimeno( monimo nevrologiko eleimma)

30
Q

pathogenesi isxaimikwn

A

meiwnete to o2 kai i glikozi ,epomenos meiwnete to atp ,exoume anaerovia glikolisi kai paragwgi galaktikou oksews (metavoliki oksewsi) ,diataraxi isoropias stin antalagi iontwn (mpainei na ca) apeleftherwsi litikwn enzimwn kai eleftherwn rizwn me kittariko thanato

31
Q

isxaimia opisthias egkefalikis(aimatwnei iniako lovo,mesegkefalo,optiko thalamo kai ipothalamo)

A

se apofraksi stelexous exoume omonimi imianopsia,antiplevri imiparesi imipesthisia

32
Q

isxaimia epipolis kladwn opisthias egkefalikis

A

omonimi imianopsia ,diatirisi kentrikis orasis,optiki agnwsia

33
Q

isxaimia diatitrainwnwn kladwn opisthias egkefalikis

A

omoplevri pparalisi kinou kinitikou kai anteplevri imiparesi kai imi ipaisthisia

34
Q

isxaimia vasikis artirias(aimatwnei gefira paregkefalida)

A

tetrapligia vathi kwma ,kores se misis alla antanakloun se fws , mporei na kanei locked in syndrome

35
Q

se isxaimia egkefalikou stelexous pou einai oi vlaves

A

apo egkefalikes sizigies omopelvra pros tin valvi kai kinitikes kai aisthitikes antiplevra(epalasousa)

36
Q

dd okseia egkefalikis isxaimias

A

ipoglikaimiki krisi ,lipothimiko epeisodio , orthostatiki ipotasi , sigkoptiki krisi ,epilipsia ,lavirinthika sindroma ,skp

37
Q

xronia mikroaggeiopatheia tou egkefalou

A

exoume prosvoli artiriwn mirkou evrous (apo ipertasi)
vlavi kanei paxinsi kai lipoialinwsi tou toixwmatos twn diatitrainontwn artiridiwn ,isxaimoun vasika gagglia eesw ksapsa gefira levki ousia ,,dimiourgountai kenoxoria(lacunes) ,gloiwsi kai atrofia lefkis ->leukoaraiwsi (nossos binswanger),disarthria diskataposia sinaisthimatiki asthatheia vadisi me mikra vimata mexri kai anoia agkeiakis aitiologias

38
Q

logoi endoefkefalikis aimoragias(aimoragiko aee)

A

ipertasi,amiloeidiki aggeiopatheia,aggeiakes displasies ,neoplasies ,antipitiki agwgi,aggeiitides ,kokaini

39
Q

simptwmata endoegkefalikis aimoragias

A

kefalalgias emetos diataraxi epipedou sinidisis, aimoragia ston fakoeidi vlepei tin vlavi tou me imiparesi kai imipaisthisia,thalamos :siglisi kai pros ta katw oi ofthalmoi,gefira :tetrapligia kai koma ,kores me entoni misi antidroun sto fos, paregkefalida:zali emetos diataraxi isoropias

40
Q

ct sto aimoragiko aee

A

iperpikrni tis prwtes wres

41
Q

therapeia aimoragikou aee

A

elexos zwtikwn,elexos ap oxi epithetiki meiwsi,diakopi antipiktikis,xorigisi vit k ,apoidimatika

42
Q

pote tha xeirourgisoume se aimoragiko aee

A

otan einai prospelasimo to simeio,otan den statheropoite i katastasi ,avksaete end piesi,iparxei ca i agkeiodisplasia

43
Q

aitia iparaxnoeidous aimoragias

A

kak ,riksi anevrismatos,af displasia,artir ipertasi,ca ,aggitida

44
Q

simptwmata iparaxnoeidous aimoragias

A

kefalalgia diplwpia thamvos orasis,aifnidia kefalalgia ,diataraxi sinidisis,epilipsia naftia emetos ,diskampsia

45
Q

se poio anevrisma exoume ofthalmokinitikes diataraxes

A

esw karotidas

nevrologia (21 decks)

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