NEURO

Question 1

which part of brain (seizures context) presents with automatisms and lip smacking?

Answer 1

Temporal lobe

Question 2

Normal Pressure Hydrocephalus Presentation:

Answer 2

• Urinary incontinence, gait abnormality, dementia
• NB: remember is as ‘wet, wobbly, wacky’
• symptoms develop over a few months
• Mx: Ventriculoperitoneal shunting

Question 3

Brown-Sequard syndrome Presentation:

Answer 3

-UNILATERAL
Ipsilateral UMN signs and Contralateral spinothalamic signs

ddx: subacute degeneration of spinal cord: presents BILATERALLY

Question 4

Trigeminal Neuralgia Presentation:

Answer 4

• Presents with sharp, unilateral facial pain triggered by chewing/brushing/similar activities

Question 5

1st line investigation for stroke:

Answer 5

CT Head (non-contrast); once haemorrhagic stroke has been ruled out= then can give 300mg aspirin.
- Secondary management= Clopidogrel

Question 6

most common complication after meningitis?

Answer 6

Sensorineural hearing loss

Question 7

Status epilepticus Mx:

Answer 7

• if not responding to benzodiazepines(a maximum of 2 doses can be given), can give IV Phenytoin, Keppra or sodium valproate

Question 8

Bell’s Palsy(forehead and eyebrow raising IS affected) Mx:

Answer 8

• Within 72 hours of symptoms starting, start oral steroids, specifically Prednisolone.

Question 9

Cluster Headache duration?

Answer 9

15 minutes to 2 hours
- patient presents with severe headache, needing to pace around in the room and wanting to bang head against wall and maybe vomit.
Mx: 100% oxygen, prophylaxis= verapamil