neuro Flashcards
mnemonic for cranial nerves
Oh- olfactory
oh-optic
oh- oculomotor
to - trochlear
touch - trigeminal
and - abducens
feel - facial
a - acoustic
girls - glossopharyngeal
vagina - vagus
so - spinal accessory
heavenly - hypoglossal
what crainal nerve moves the eyes and does pupillary constriction
CN III oculomotor
which cranial nerve opens eyelids and contrails pupils
CN III oculomotor
CN VI does what
abducens
lateral eye movement
which cranial nerve does hearing
CN VIII acoustic
what CN moves the tongue
CN XII hypoglossal
this CN shrugs the shoulders
CN XI spinal accessory
mnemonic for type of cranial nerves
S- some
s - say
M-marry
M-money
B-but
m- my
b-brother
s-says
b- big
b- bras
m- matter
m- most
hemiplegia is associated with what type of CVA
middle cerebral artery CVA
Mini-mental status exam
ORArL 2,3, RWD
O - orientation to place/time
R- recognition
A attention
r- recall
L- language
2- identify names of 2 objects
3 - follow 3 step command
R - reading
W- writing
D- drawing
what is max score of mine mental
30
no impairment 24-30
delirium/dementia 18-23 mild 0-17 severe
what is homonymous hemianopia
half vision on side of stroke
would you want the family in the room when you do the mini mental status exam
no
when is carotid endarterectomy indicated
symptomatic low risk surgical patients with 50-90% stenosis
asymptomatic patients with > 70-99 %
left side stroke may result in what
aphasia
dysarthria
difficulty reading/writing
pt has hip fracture, you note carotid bruit upon assessment with weakness and confusion. what do you order
carotid US
ipsilateral monocular blindness (amaurosis fugal)
on same side of stroke
what happens to motor impairment in a TIA ? CVA ?
paresthesia of contralateral arm, leg or face
hemiplegia on contralateral arm, leg or face
number one cause of heart failure
HTN
what you may see with right hemisphere CVA
right visual field changes
left hemiparesis
spatial disorientation
mtg for thrombotic stroke
fibrinolytic indicated within <3-4.5 hours
why is there an indication for nimodipine in setting where there are increased ICP
CCM - help counter vasospasm
CPP
cerebral perfusion pressure
MAP - ICP = CPP
indication for ICP monitoring
GCS < 8 + abnormal CT
GCS < 8 + normal CT and 2 of following: age >40, BP <90, abnormal motor posturing
why do we keep MAP 110-130 in CVA
to help decrease vasospasm
pt has no loss of consciousness and has tremors of right hand that precedes to entire arm - what do you dx
simple partial seizure