Neuro Flashcards
Medications that may cause pseudo tumor
Vit a
Steroids (also treat it)
Thyroxine
Lithium
Cushing’s triad
Hypertension, bradycardia, abnormal respirations
Late findings of increased ICP and usually indicate impending herniation
Neonates with cranial bruit, hydrocephalus and Hx of CHF
Vein of Galen malformation
Medications that cause ataxia
Anticonvulsants
Alcohol
Thallium
Malignancies associated with ataxia telangiectasia
Hodgkin lymphoma and leukemia
Clinical features of friedreich ataxia
Elevated plantar arch
Absence of lower extremity deep tendon reflexes
Cardiomyopathy leading to CHF
What is the most common malignant brain tumor of childhood
Medulloblastoma (infra tentorial)
What percentage of the time are optic nerve gliomas associated with neurofibromatosis
25 percent
Presentation of acute transverse myelitis
Fever and sudden onset of paralysis
Increased tone and hyperreflexia
Respiratory arrest or compromise is the main consequence of concern
CSF has increased polys and a negative gram stain
Werdnig-Hoffman disease
Presents in infancy as severe hypotonia, weakness and tongue fasciculations
What do you think of in a pt that presents with areflexia and what can it be due to
Guillian barre syndrome
Viruses and campylobacter jejuni
What lab finding is always elevated in kids with duchenne even before weakness appears and also in female carriers
CPK
Myotonic muscular dystrophy vs duchenne’s
X linked dominant vs recessive
Normal CPK vs elevated
Distal muscle weakness vs proximal
Both striated and smooth muscle are affected
Ramsay hunt syndrome
Facial weakness associated with pustular lesions, ear pain and taste loss
Bell’s palsy involved what part of the face
Whole face! Upper and lower
If upper spared think of upper motor neuron injury such as with stroke
Risk factors for CP in full term infants
Advanced maternal age, black race, IUGR
Risk factors for recurrence of febrile seizures
A low fever at time of seizure
Short period of time btw fever and seizure
Young age
Family Hx of febrile seizure
Tx of absence seizures
Ethosuximide
Presentation of juvenile myoclonic epilepsy
Myoclonic jerks upon awakening
Generalized tonic-clonic
Absence sz in 1/3 of pts
What genetic condition is infantile spasms associated with
Tuberous sclerosis
Difference between simple and complex partial seizures
With simple consciousness is maintained
Treatment of simple partial seizures
Carbamazepine
Benign Rolandic epilepsy
Most common form of partial epilepsy in childhood
Dominant trait
Associated with migraine headaches
Facial motor seizure and often unilateral sensory involvement
Pt is fully aware but unable to speak
Occur while the child is asleep at night
ERG finding for Rolandic epilepsy
Biphasic focal centrotemporal spikes and slow waves
