Neuro Emergencies

Question 1

Clinically significant skull fractures:

Answer 1

pass through an air-filled space (sinus)‏
associated w/ an overlying scalp laceration
depressed below the level of the skull’s inner table
overlie a major dural venous sinus or the middle meningeal artery

Question 2

Life Threatening Causes of Headache

Answer 2

SAH
MENENGITIS
CEREBRAL ISCHEMIA
SDH
BRAIN TUMOR

Question 3

Vertigo-Etiologies Central

Answer 3

Migrainous
Brainstem ischemia
Cerebellar infarction and hemorrhage
MS

Question 4

Vertigo-Etiologies Somatic

Answer 4

Panic attack

The “weak, dizzy, nearly fainting” pt

Question 5

Vertigo-Etiologies Peripheral

Answer 5

Benign paroxysmal positional vertigo
Vestibular neuritis
Herpes zoster oticus
Meniere's disease
Labyrinthitis
Perilymphatic fistula
Acoustic neuroma
Aminoglycoside toxicity
Otitis media

Question 6

Myasthenic Crisis

Answer 6

Myasthenic crisis occurs when there is severe enough weakness to necessitate intubation
Severe bulbar weakness produces dysphagia and aspiration that often complicates respiratory failure
Often the pt experiences generalized weakness as a warning

Question 7

Features that make GBS doubtful

Answer 7

Having a demarcation in sensation
Marked, persistent asymmetry of weakness
Severe & persistent bowel & bladder dysfunction
More then 50 WBCs in the CSF