neuro Flashcards
1
Q
what are the components of the ABCD2 score?
A
- Age
- Blood Pressure
- Clincal features
- Duration of symptoms (1 for <20 mins, 2 for an hour)
- Diabetes
2
Q
What is the management of someone with an ABCD2 score of >4?
A
- they are thigh risk of getting a stroke
- Aspirin 300mg
- secondary prevention and specialist investigation (brain imaging)
3
Q
What drugs are given for migraine prophylaxis and then for attacks?
A
- propranolol
- topiramate
- sumatriptans
4
Q
what is thought to be cause of normal pressure hydrocephalus?
A
- reduced CSF absorption at arachnoid villi
5
Q
what is the characteristics of cluster headaches? (3)
A
- episodic eye pain
- lacrimation
- nasal stuffiness
- coming on in clusters, much more common in men!!
6
Q
what is gamma GT raised in?
A
- involved in glutathione metabolism therefore raised gamma GT indicates liver disease
7
Q
what is the treatment for trigeminal neuralgia?
A
- carbamazepine
8
Q
what are the headache red flags?
A
- age under 20
- new onset neurological/ cognitive dysfunction
- recent head trauma
- headache triggered by cough/ sneeze/ valsalva
