Neuro Flashcards
Thunderclap headache diagnosis
Subarachnoid haemorrhage
Xanthochromatic CSF from LUmbar PUncture
Subarachnoid Haemorrhage
Lucid period after head trauma, then sudden collapse
Extradural haemorrhage
Cogwheel rigidity
Parkinson’s
Raised CK
Muscular Dystrophy
Toe walker, positive Gower’s sign
Duchenne Muscular Dystrophy
Mask like facies
Parkinson’s
Fluctuating cognitive deficit (2)
Lewy Body Dementia,
Delirium
REM disturbance (2)
Lewy Body dementia,
Parkinson’s
Vivid non threatening hallucinations (eg children or animals)
Lewy Body Dementia
Acute onset fluctuating cognitive disturbance
Delirium
Memory and personality problems, history of CVD
Vascular Dementia
Stepwise progression of symptoms
Vascular Dementia (progressive mini strokes)
Pain on loud noise
Facial Nerve Palsy
Bell’ palsy, stapedius muscle paralysed
Painful third nerve palsy
Aneurysm
Myalgia
Myositis
Myoglobulinaemia
Myoglobulinuria
Rhabdomyolysis
Weakness
Frontal balding
Cataracts
Ptosis
Myotonic Dystrophy (+ve FHx, 30s)
Leg symptom
Midline shift of brain material
Falcine herniation
Back pain worse on coughing
Slipped disc
Headache worse on coughing
Posterior fossa issue
Bilateral sciatica
Male sexual dysfunction
Cauda equina syndrome
First line pharmacological migraine prophylaxis options (3)
Propanolol
Topiramate
Amitriptyline
Second line pharmacological migraine prophylaxis options (4)
Sodium valproate
Gapapentin
Pregabalin
Pizotifen
When to move onto second line pharmacological migraine prophylaxis?
3 months