Neurology Flashcards
How do we treat fatigue in multiple sclerosis?
Amantadine, modafinil or SSRIs
How do we treat neuropathic pain in multiple sclerosis?
Amitryline or gabapentin
How do we treat depression in multiple sclerosis?
Antidepressants like SSRIs
How do we treat urge incontinence in multiple sclerosis?
Anti muscarinic medications like solifenacin
How do we treat spasticity in multiple sclerosis?
Baclofen or gabapentin
How do we treat oscillopsia in multiple sclerosis?
Gabapentin or memantine
What is the treatment for MS relapses?
Steroids either 500mg for 5 days or IV 1g if oral treatment has failed or relapses are severe
What management will a patient presenting with TIA and symptomatic carotid stenosis have, ideally within two weeks?
Carotid endarterectomy
How does progress after stroke in the first two weeks affect prognosis?
If you are going to make a good recovery, you do so in the first two weeks.
Improvement may continue til 6 months
How can determine is a foot drop is due to a common peroneal nerve palsy or a L5 root lesion?
Common peroneal nerve palsy is painless
L5 root lesion is painful
if a patient when looking to the right on H test is unable to adduct the left eye and gets nystagmus in the right eye abducting, what is the likely diagnosis?
left internuclear opthalmoplegia
what is the parkinson plus syndrome presenting with parkinsonism and vertical gaze palsy?
progressive supranuclear palsy
what parkinson’s plus syndrome presents with parkinsonism, no tremor and early autonomic clinical features such as: postural hypotension, incontinence, and impotence?
Multiple systems atrophy
what postural changes can be seen with MSA?
anterior flexion of neck (antecollis) and spine (camptocormia)
