Neurology Flashcards
bell’s palsy affects
cranial nerve vii
bell’s palsy presentation
acute spontaneous unilateral facial paralysis
concussion
mild traumatic brain injury
sleep will help
cognitive recovery may take longer than physical recovery
when to refer concussion
symptoms lasting longer than 21 days or escalating symptoms after injury or multiple concussions
Back-to-Sports Prerequisites after concussion
- Return-to-school success
- Symptom free, no meds
- Normal neuro exam
red flag headache features
age >50 yrs
hx of cancer
pregnancy
fever
onset with exercise, cough, intercourse
migraine definition
heaadache 4-72 h
2 characteristics: unilateral, pulsating, moderate to severe, n/v, photophobia, phonophobia
aura with migraine
Visual, sensory, motor, brainstem, retinal, or speech changes fully reversible
Develops over 5-60 minutes; headache develops within 60 minutes
peripheral vertigo
vestibular
visual fixation stops nystagmus
can walk
hearing impaired
normal neuro exam
central vertigo
brain
visual fixation does NOT stop nystagmus
falls when walking
abnormal neuro exam
pharm treatment for neuropathy
SNRI (duloxetine, effexor)
TCA (amitriptyline)
Gabapentin, lyrica
treatment of alzheimers disease
cholinesterase inhibitors: donepezil, rivastigmine, galantamine
memantine
CN I
Olfactory
smell
CN II
Optic
Vision
CN III
Oculomotor
eye movement, pupil constriction, accomodation
CN IV
Trochlear
Movement of superior oblique muscle
CN V
Trigeminal
supplies sensation face
CN VI
Abducens
movement of lateral rectus muscle
CN VII
Facial
innervates facial muscles
CN VIII
Vestibulocochlear
responsible for hearing, balance, awareness of position
CN IX
glossopharyngeal
sensation of pharynx
CN X
Vagus
parasympathetic fibers to chest, abdomen
CN XI
Spinal accessory
motor nerve supplying sternocleidomastoid and trapezius muscle
CN XII
Hypoglossal
supplies motor nerves to tongue
never order contrast on MRI if
suspected leak
