Neuro buzzwords Flashcards
Thunderclap headache
Subarachnoid haemorrhage
Xanhochromic LP
Subarachnoid haemorrhage
Fresh blood in CSF
Traumatic tap
Lucid period after head trauma followed by collapse
Extradural haemorrhage
Cogwheel rigidity
PD
“Woody texture” muscle swelling
Duchenne or Becker MD
Raised CK
Muscular dystrophy
oe walker or positive Gowers sign
Muscular dystrophy
“Mask-like” expression
Parkinson’s
“Fluctuating” cognitive deficit
LB Dementia or Delirium
REM disturbance (later in night)
LB dementia or Parkinson’s
Vivid visual hallucinations normally of children and not threatening
Lewy Body Dementia
“Acute onset” cognitive disturbance that fluctuates
Delirium
Personality/behaviour changes then dementia
Frontotemporal dementia (Pick’s disease)
Stepwise deterioration
Vascular dementia
Pain on loud noise
Facial nerve palsy
Painful third nerve palsy
Posterior communicating artery anuerysm
Myalgia + myositis +microglobuniaemia/uria
Rhabdomyolysis
Inflammatory myopathy with poor response to steroids
Inclusion body myositis
Weakness + frontal balding + cataracts + ptosis
Myotonic dystrophy (onset 30’s with family history)
Leg symptoms + mdline shift
Falcine erniation
Back pain worse on coughing
Slipped disc
Headache worse on coughing
Posterior fosa issue
BL sciaticia + male sexual dysfunction +/- bowel and bladder symptoms
Cauda equina
Pleocytosis on CSF
Rule out bacterial meningitis
1st line migraine prophylaxis
Propranolol, topiramate or amitryptiline
2nd line migraine prophylaxi
Valpoate
Pizotifen
How long do you try gabapentin/pregabalin for before trying the other if it doesn’t work?
4 months
What palsy does an injury to the uper brachial plexus cause?
Erb’s palsy (waiters tip)
What tends to cause Erb’s palsy?
Shoulder dystocia
What palsy is caused by an injury to the lower brachial plexus?
Klumpke’s palsy (claw hand)
What ca cause Klumpke’s palsy?
Pulling injury
Sleep on bar stool
What does apositive Simmond’s test indicate?
Achilles endonrupture
WHat are anti-ACh antibodies present in?
Myaesthenia gravis
Pure motor symptoms (UMN and LMN) with ocular sparing
MND
How does cervical myelopathy present in the clinic?
High stepping gait
Romberg;s positive
“Raccoon” or “Panda” eyes
Fracture of anterior cranial fossa
“Battle sign” behind ears
Frcture of middle cranial fossa - mastoid process of the temporal bone
Diarrhoea + progressive ascending weakness
Guillain-Barre