Neurological Emergencies

Question 1

Variants of Guillain-Barre?

Answer 1

AMAN - pure motor (atonal)

Miller-Fisher

Question 2

How to measure breathing?

Answer 2

Spirometry, lung function

Question 3

Investigations for clot retrieval, what do neuro want to know?

Answer 3

Time of onset
Contra indications
IV access
Basic bloods
CT/CT-perfusion study (if good collaterals, can clot retrieve up to 16 hours)

Question 4

Subarachnoid haemorrhage dx?

Answer 4

CT angiogram

LP

Question 5

Call-Flemming Syndrome (AKA RCVS) is?

Answer 5

Sporadic arterial spasms

Question 6

How to examine comatose

Answer 6

Reflexes
Pupillary reactions (midbrain good)
Doll’s head manoeuvre (pons good)
Gag Reflex (medulla good)

Question 7

After pancreatitis, if they go unconscious and unresponsive, what to consider?

Answer 7

Islet cell failure, hypo coma

Question 8

Why young woman gets status epilepticus?

Answer 8

Lamotrigine is increase by oestrogen

Can happen if on pill, chest infection, new BF

Question 9

What is Clinico-electrographic dissociation? During status epilepticus?

Answer 9

First seizure: lots of movement
Second: less movement
Third: less movement

Danger: still as bad for the brain