Neuro 1 Flashcards
biggest risk factor of lacunar strokes
HTN
tx of parkinson’s tremor
benztropine
tx of huntington’s chorea
haldol
parkinsonism, autonomic dysfunction, widespread neurological signs
- dx
- tx
Shy Drager / multiple system atrophy
intravasc volume expansion with fludricortisone, salt, alpha agonist, compression stockings
sxs of shy dragger / multiple system atrophy
parkinsonism
autonomic dysfunction
widespread neurological signs
characteristics of riley day / familial dysautonomia
Ashkenazi jew
dysfunction of autonomic NS
orthostatic hypotension
tx Lewy body dementia
acetylcholenesterase inhibitors (rivastigmine) if that doesn't work and still hallucinations, atypical antipsychotics
after fibrinolytics
- goal BP
- use what med to bring down BP
less than 185/110 24 hours after
labetalol
seizure in child that’s similar to absence, but isn’t affected by hyperventilation
focal seizures
sxs of lateral cerebellar infarction
dizzy
ataxia
weakness
tendency to sway to side of lesion
brown sequard IL and CL sxs
IL: motor (weakness), vibration, proprioception
CL: temp, pain
MC site of hypertensive hemorrhage
putamen, which is part of basal ganglia (and usually involves internal capsule, which causes hemiparesis)
eye deviation with thalamus
eye deviates Toward HEMIPARESIS
complications of subarachnoid hemorrhage and timing
within 1 hour: rebreeding
after 3 hours: vasospasm
cerebral vasospasm after SAH
- how to diagnose
- what to prevent
CTA
nimodipine
Uthoff and Lhermitte sign of MS
Uthoff: increase sxs in heat
Lhermitte: electric sensation down spine or limbs with neck flexion
most common brain tumor in kids
astrocytoma
syringomyelia associated with
arnold chiari malformation type 1 (brain tissue extends into spinal cord)
management of brain mets, single vs multiple
single and accessible and good functioning person: surgery followed by stereotactic or whole brain radiation
single, nonsurg cand, small less than 3 cm, or inaccessible lesion: sterotactic radiation
multiple: whole brain radiation
cauda equina syndrome involves compression of
spinal nerve roots
clinical indications for craniotomy
GCS less than 8 signs of incr ICP pupillary abnormalities hemiparesis cerebellar signs
DOC for partial seizures
phenytoin
anterior cord sxs
loss of motor, pain, temp
acute disk prolapse sxs
pos straight leg raise
radicular pain
tx of myasthenia crisis (respiratory failure)
corticosteroids and IVIG or plasmapharesis
ascending paralysis without weakness, and progresses in hours. dx?
tick borne paralysis
long term effects of bad meningitis
seizures hearing loss loss of cognitive function MR spasticity or paresis
prophylaxis for cluster headaches
lithium
ergotamine
verapamil
tx for cluster headaches
100% oxygen
IM sumatriptan
pronator drift is a sign of
pyramidal tract / corticospinal tract disease
or upper motor neuron disease
