Neuro Flashcards
What is an example of Parkinsons Plus disorder?
Progressive supranuclear palsy
What are the CF of Progressive supranuclear palsy that make it different to normal Parkinsons? (2 things)
- Dysarthria
- Reduced vertical eye movements
(but has normal TRAP Parkinsons CF as well)
What are the CF of a cluster headache? (4 things)
- Episodic + intense
- Unilateral eye pain (stabbing)
- Lacrimation
- Restless
What complication can Parkinsons lead to due to Autonomic failure over time?
Postural hypotension
What are the CF of Encephalitis? (5 things)
- Seizures
- Fever
- Headache
- Vomiting
- Swelling + Increased brain signal @ MRI
What are 95% of Encephalitis caused by?
HSV
What is the immediate Tx for Encephalitis?
Aciclovir
What will the CSF show in Lumbar puncture of Encephalitis? (2 things)
- Raised lymphocytes
- Raised protein
What is the classical triad of Normal Pressure Hydrocephalus? (3 things)
- Dementia
- Gait abnormality
- Urinary incontinence
Normal Pressure Hyrocephalus is a ____ cause of dementia?
Reversible
What is the Mx for Normal Pressure Hyrocephalus?
Ventriculoperitoneal shunting
What is the key CF of Myasthenia gravis?
Weakness that worsens throughout the day
What is an Eye symptom of Myasthenia gravis?
Blurred vision that worsens throughout the day
What autoantibodies do Myasthenia gravis pt have?
Acetylcholine receptor autoantibodies
What cancer is Myasthenia gravis linked to?
Thymoma
What other conditions if Myasthenia gravis linked to?
AI conditions like SLE
What investigations should you do for Myasthenia gravis? (3 things)
- Single fibre electromyography (myo like mya)
- Acetylcholine receptor autoantibodies
- CK normal
What is the FIRST line Mx for Myasthenia gravis?
Pyridostigmine (acetylcholinesterase inhibitor)
What is the Mx of ischaemic stroke with no signs of haemorrhage on CT?
Within 4.5 hours of presenting = Thrombolysis + Thrombectomy
What can you develop after a Lumbar puncture?
Iatrogenic headache
What is another name for Simple Partial seizure? Why is that name better?
Focal aware seizure
Tells you if pt is aware or not (aka LOC or not)
What is another name for Complex Partial seizure? Why is that name better?
Focal impaired awareness seizure
Tells you if pt is aware or not (aka LOC or not)
What is the Afferent and Efferent Nerve in the Corneal Reflex?
- Afferent = V1 (ophthalmic)
- Efferent: 7 (facial)
What is the Afferent and Efferent Nerve in the Jaw Jerk Reflex?
- Afferent = V3 (mandibular)
- Efferent: V3 (mandibular)
What is the Afferent and Efferent Nerve in the Gag Reflex?
- Afferent = 9 (9lossopharyn9eal)
- Efferent: 10 (vagal nerve)
(same as Carotid sinus reflex)
What is the Afferent and Efferent Nerve in the Carotid sinus Reflex?
- Afferent = 9 (9lossopharyn9eal)
- Efferent: 10 (vagal nerve)
(same as Gag reflex)
What is the Afferent and Efferent Nerve in the Pupillary light Reflex?
- Afferent = 2 (optic nerve)
- Efferent: 3 (oculomotor)
What is the Afferent and Efferent Nerve in the Lacrimation Reflex?
- Afferent = V1 (ophthalmic)
- Efferent: 7 (facial)
What should you start pt on once ischaemic stroke confirmed? (3 things)
- 300mg daily (2 weeks)
- 75mg Clopidogrel (forever)
- Offer statin if not already on one
What is used for the long term prophylaxis of Cluster headaches?
Verapamil
What age does MND usually present at?
After 40