Neuro 🧠 Flashcards
GCS scoring system:
👁️
4: open spontaneously
3: open to voice
2: open to pain
1: none
👄
5: oriented
4: confused
3: words
2: sounds
1: none
👋🏻
6: obey commands
5: localize pain
4: withdraw
3: decorticate
2: decerebrate
1: none
Lucid interval
Epidural hematoma
Worst headache
Subarachnoid hemorrhage
Most affected artery in Epidural hematoma
Middle meningeal artery
Indications of craniotomy with subdural hematoma
Mid line shift > 5 mm
Dilated pupils
Rapid deterioration (GCS drop >2)
Cushing triad (🔻RR, 🔻HR, 🔺BP)
Clot thickness >10 mm
Primary (first step) in management of SDH
Head elevation
Signs of basal skull fracture:
- hemotympanium
- CSF otorrhea & rhinorrhea
- raccoon eye
- battle sign
Mastoid « ruptured tympanic membrane
[…] foramen injury
🔸 loss of post 1/3 tongue sensation
🔸 ipsilateral vocal cord paralysis
🔸 weakness of trapezius & SCM
Jugular
“Vernet’s syndrome” 9+10+11 CNs
[…] foramen injury
🔸 Bell’s palsy
🔸 loss of anterior 2/3 tongue sensation
Stylomastoid
7th CN
[…] foramen injury
🔸Mastication muscle
Foramen ovale
Case if MVA. Respiration was shallow, left chest wall contusion, he was able to shrug his shoulders but cant move his elbows or lower limbs. BP 80/40 HR 40 RR 30.
What is likely etiology of his hypotension?
A. Cardiac temponade
B. Internal hemorrhage
C. High spinal cord injury
D. Tension pneumothorax
High spinal cord injury
“Neurogenic shock: 🔻BP, 🔻HR, poikilothermic”
Back pain, patient stooping and bending the back while walks to relieve the pain.
Most likely diagnosis: […]
Initial management: […]
Best management: […]
Dx: Lumbar spine stenosis
Tx: • initial » physiotherapy
• Best » laminectomy
Lower back pain associated with left calf and left foot parasthesia.
Which spinal level affected?
L5-S1
A scenario of stroke but with lower limb paresis only. What artery affected?
ACA
LAg in your leg
A scenario of stroke with weakness in the arm leg and face. What artery affected?
MCA
