Neuro cases Flashcards
how do migraines present in most adults
unilateral
how do migraines present in most children/adolescents
bilateral
which type of headache waxes and wanes
tension type
which type of headache is gradual and exacerbated by physical activity
migraine
which type of headache is “explosive” and rapid onset
cluster
which type of headache generally presents with photophobia
migraine
what is the cause of occipital neuralgia
nerve trauma (secondary to OA, tumor or hypertonic neck ms.)
how does BPPV present
episodic, triggered vertigo
what test is used to dx BPPV
dix-hallpike
episodic, spontaneous vertigo w/o psych hx or hearing loss is what
vestibular migraine - USUALLY secondary to trauma or toxin (meds)
how long does vestibular migraine tend to last
days to weeks
how many different meds is associated with inc risk of dizziness
5 or more meds
how is BPPV treated
epley manuver at PT
brandt-daroff exercise at home
how does vestibular neuritis present
rotatory vertigo
horizontal nystagmus to nonaffected side
abnl gait
will dix-hallpike be positive in a pt w/ menieres dz
maybe
what type of migraine is most common in women and children
vestibular
what is a tremor which is enhanced by mental stress and diminished by voluntary movement of the hand called
resting tremor
when does a postural tremor occur
when maintaining a poisition against gravity (like raising hand)
when does an isometric tremor occur
when m. is contracting against solid object (like making a fist)
when does a kinetic tremor occur
during voluntary movement - intention tremor
how do essential tremors generally present
usually a kinetic tremor
bilateral
progressive w/ age
relieved by etoh
pill-rolling tremor is a classic sign of what dz
parkinsons
how do psychogenic tremors present
abrupt onset
spontaneous remission
changing location and frequency
goes away when distracted, worsened when bringing attention to tremor
how does the distribution of parkinsons vs essential tremor differ
symmetrical in essential, asymmetrical in PD
