Neuro Flashcards
Location of Tension Headache
- Holocranial Or bifrontal
- 30 min - 7 days
• Max of 1 autonomic sx
(nausea, photophobia, phonophobia)
Cluster Headache
Location
Duration
Pattern
Symptoms
- Unilateral Or Periorbital
- > 15 min - 40min
- Short, recurring, Cyclical
- Autonomic Sx:
- Conjunctival injection /Lacrimation
- Rinorrhea
- Partial Horner’s (no anhydrosis)
• Agitation + restlessness
Treatment of Cluster Headache
Acute
- 100% Fi O2
* 1st line: triptans (sumatriptan)
Tx of Clusters Headache
Preventative
- 1st line: Verapamil
* Steroids to end a cycle (prednisone)
Posterior funiculus conveys
- Pressure
- Fine touch
- Vibration
- Proprioception (skin and joints)
Anterolateral funiculus conveys
• Fibers decussate from contralateral side:
- Crude touch (anterior sponothalamic)
- Pain & temperature (lateral spinothalamic)
Path of Pyramidal fibers
• Primary motor cortex
via internal capsule to..
• Brain stem forming:
- Bulbar Corticonuclear fibers to Cranial nerves (innervating facial muscles)
- Two decisions of Corticospinal tract
(Lateral 80%)
(Anterior 20%)
Lateral corticospinal tract course and function
- deccusates at level of medulla, descend on contralateral
* Motor supply to limbs and digits
Anterior corticospinal tract course and function
- descend ipsilaterally and decussate at spinal level of trunk muscles they supply
- innervates muscles of the trunk
__is brain tumor associated with secondary Diabetes insipidus
Craniopharyngioma
Imaging proof to LP include signs of Increases IP and ___
• immunosuppressants
- Ampicillin + Aminoglycoside
- (AND/ OR) 3rd Gen. Ceph
…therapy for meningitis Pt ___
• < 1 month
Ceftriaxone contraindicated
• Vancomycin
+
• Ceftriaxone Or Cefotaxime
… therapy in meningitis Pt. ___
> 1 month to < 50 years
• Vancomycin, Ampicillin
+
• Ceftriaxone Or Cefotaxime
…therapy in meningitis Pt. __
• > 50 years
• Vancomycin, Ampicillin
+
• Cefepime Or Meropenem
…therapy in ___ Pt. with meningitis
• immunocompromised
Conus medularis presents with Symmetric ___ distal paresis.
Cauda presents with Asymmetric ___, ___ paresis
- hyperreflexic (Absent Achilles)
* areflexic, flaccid
Conus medularis presents with ___ bladder and fecal incontinence!
• early onset
Drugs causing Psuedotumor cerebri
•
•
•
•
- Growth hormone
- Tetracyclines
- Vitamin A
- Danzol
Methimazole and propylthiouracil are ___ drugs
• antithyroid
Rapid control of hyperthyroidism….
• Beta blockers
Alzheimer’s takes a ___/ ___ course
• Slow, insidious
8- 10 years
Vascular Demantia is ___ cognitive decline and ___ deterioration
- abrupt
2. stepwise
Visual Hallucinations and ___ seen in ___ Dementia
- Parkinsonism
* Lewy Body
Frontotemporal dementia presents with changes ___
• in Personality
Patients 40 - 69
Gait disorder
Dementia
Urinary incontinence
….
• Normal pressure Hydrocephalus
Severe ___ and ___ amnesia seen in Wernicke Korsakoff Syndrome
- anterograde
* retrograde
In contrast to NPH, Wernicke encephalopathy presents with ___
Opthalmoplegia
not incontinence