Neuro Cases 1

Question 1

SNOOP

Answer 1

S = systemic symptoms, illness, or condition
(fever, wt loss, cancer, pregame’s, immunocompr)

N = neurosymptoms ot abnormal signs (confusion, papilledema)

O = onset is new (ie thunderclap)

O = other, assoc conditional (head trauma, illicit drug use, worse with walsalva maneuvers, precipitated by sex)

P = previous HA history with HA progression or change

Question 2

Emergency eval for headache includes :

Answer 2

1) sudden, thunderclap headache
2) HA with meningitis/encephalitis
3) HA with global or focal neuro deficit or papilledema
4) HA with orbital or periorbital symptoms
5) HA and possible CO exposure

Question 3

Peripheral causes of dizziness

Answer 3

• bening paroxysomal positional vertigo
• vestibular neuritis
• meniere disease
• otosclerosis

Question 4

Central causes of dizziness

Answer 4

• vestibular migrane
• Cerebrovascular disease
• cerebellopontine angle and posterior fossa meningiomas

Question 5

Other causes of dizziness

Answer 5

• psychiatric
• medication induced
• Cardiovasc/metabolic disease
• orthostatic

Question 6

Vertigo

definition/cause

Answer 6

-sense of self motion when they are not moving ot a distorted self-motion during normal head movement

cause:

1) asymmetry w/in vestibular system
2) disorder of peripheral labyrinth of its central conex