Neuro cases

Question 1

how do migraines present in most adults

Answer 1

unilateral

Question 2

how do migraines present in most children/adolescents

Answer 2

bilateral

Question 3

which type of headache waxes and wanes

Answer 3

tension type

Question 4

which type of headache is gradual and exacerbated by physical activity

Answer 4

migraine

Question 5

which type of headache is “explosive” and rapid onset

Answer 5

cluster

Question 6

which type of headache generally presents with photophobia

Answer 6

migraine

Question 7

what is the cause of occipital neuralgia

Answer 7

nerve trauma (secondary to OA, tumor or hypertonic neck ms.)

Question 8

how does BPPV present

Answer 8

episodic, triggered vertigo

Question 9

what test is used to dx BPPV

Answer 9

dix-hallpike

Question 10

episodic, spontaneous vertigo w/o psych hx or hearing loss is what

Answer 10

vestibular migraine - USUALLY secondary to trauma or toxin (meds)

Question 11

how long does vestibular migraine tend to last

Answer 11

days to weeks

Question 12

how many different meds is associated with inc risk of dizziness

Answer 12

5 or more meds

Question 13

how is BPPV treated

Answer 13

epley manuver at PT

brandt-daroff exercise at home

Question 14

how does vestibular neuritis present

Answer 14

rotatory vertigo
horizontal nystagmus to nonaffected side
abnl gait

Question 15

will dix-hallpike be positive in a pt w/ menieres dz

Answer 15

maybe

Question 16

what type of migraine is most common in women and children

Answer 16

vestibular

Question 17

what is a tremor which is enhanced by mental stress and diminished by voluntary movement of the hand called

Answer 17

resting tremor

Question 18

when does a postural tremor occur

Answer 18

when maintaining a poisition against gravity (like raising hand)

Question 19

when does an isometric tremor occur

Answer 19

when m. is contracting against solid object (like making a fist)

Question 20

when does a kinetic tremor occur

Answer 20

during voluntary movement - intention tremor

Question 21

how do essential tremors generally present

Answer 21

usually a kinetic tremor
bilateral
progressive w/ age
relieved by etoh

Question 22

pill-rolling tremor is a classic sign of what dz

Answer 22

parkinsons

Question 23

how do psychogenic tremors present

Answer 23

abrupt onset
spontaneous remission
changing location and frequency
goes away when distracted, worsened when bringing attention to tremor

Question 24

how does the distribution of parkinsons vs essential tremor differ

Answer 24

symmetrical in essential, asymmetrical in PD

Question 25

how does writing of parkinsons vs essential tremor pts differ

Answer 25

essential - large, illegible writing

PD - small

Question 26

in what dz does the tremor worsen when walking

Answer 26

PD