Neurology Flashcards

1
Q

Define cerebral palsy

A

Permanent disorder of development of movement and posture

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2
Q

Name 2 conditions associated with cerebral palsy

A

Epilepsy

Secondary MSK problems

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3
Q

Give 2 antenatal causes of cerebral palsy

A

Toxins

Infection

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4
Q

Give 2 perinatal causes of cerebral palsy

A

Hypoxic insult

Sepsis

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5
Q

Give 2 postnatal causes of cerebral palsy

A

Meningitis

Trauma

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6
Q

Give 3 management steps in cerebral palsy

A

Define cause

Manage feeding problems and epilepsy

Prevent deformity e.g. physio, botox, surgery

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7
Q

Give 3 features of spina bifida

A

Flaccid weak lower limbs

Absent reflexes

Lack of sensation

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8
Q

In community ambulators, what level is spina bifida located?

A

L3 and lower

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9
Q

In household ambulators, what level is spina bifida located?

A

L3 to mid lumbar

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10
Q

In non-functional ambulators, what level is spina bifida located?

A

L1 to L3

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11
Q

What is a myelomeningocele?

A

Outpouching of spinal cord and coverings through defect in posterior elements of vertebral arches

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12
Q

What type of gene mutations of DMD and Becker’s?

A

X-linked recessive

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13
Q

Give 2 investigations for muscular dystrophy

A

CK level

DNA testing

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14
Q

Give 4 Tx options in muscular dystrophy

A
  • Genetic counselling
  • Physiotherapy
  • Steroids
  • Respiratory support
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15
Q

Define epilepsy

A

Transient occurrence of signs/symptoms due to abnormal excessive or synchronous neuronal activity in the brain

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16
Q

Name 4 things you would ask someone who has witnessed a seizure

A

Where?
When?
Detailed description of event
Aftermath of event

17
Q

Name 3 things to consider before starting epilepsy medications in children

A

It is epilepsy?

How frequent are seizures?

Child/parent wishes

18
Q

What is positional plagiocephaly?

A

Appearance of flat head

19
Q

What should be the aim of medication treatment in epilepsy?

A

One medication at lowest effective dose