MSRA - neuro Flashcards
Acute migraine treatment - 1st line
oral triptan + NSAID/paracetamol
Acute migraine treatment: aged 12-17
nasal triptan + NSAID/paracetamol
Acute migraine treatment - 2nd line
metoclopramide or prochlorperazine
+/- non-oral NSAID/triptan
Migraine prophylaxis - 1st line
topiramate or propranolo
Migraine prophylaxis - 2nd line
10 sessions of acupuncture
Migraine prophylaxis - menstrual migraine
frovatriptan or zolmitriptan
Classical features of vestibular schwannoma
-vertigo
-sensorineural hearing loss
-tinnitus
-absent corneal reflex
Parkinsons treatment: first line - motor symptoms affecting QOL
Levodopa
Parkinsons treatment: first line - motor symptoms not affecting QOL
Dopamine agonist (ropinirole, bromocriptine, cabergoline)
/
Levodopa
/
MAO-B inhibitor (selegiline)
Parkinsons treatment: 2nd line
Levodopa plus adjunct:
-dopamine agonist
-MAO-B inhibitor
-COMT inhibitor (entacapone)
Common features of MND
-fasciculations
-no sensory signs
-LMN + UMN signs
-wasting
Peripheral neuropathy - causes of predominantly motor
GBS
lead poisining
HSMN - CMT
CIDP
diptheria
porphyria
Peripheral neuropathy - causes of predominantly sensory
diabetes
leprosy
B12 deficiency
amyloidosis
uraemia
Features of bell’s palsy
LMN facial nerve palsy - forehead affected
Sometimes: post-auricular pain, altered taste, dry eyes, hyperacusis
Management of Bell’s palsy
Prednisolone 1mg/kg 10 days
Within 72 hours of onset
Eye care