Neurology Flashcards
Unilateral, Severe periorbital headache with tearing and conjunctival erythema
Cluster Headache
Prophylactic tx for migraine
Antihypertensive Meds
Antidepressants
Anticonvulsants
Common pituitary tumur
Tx
Prolactinoma
D2 agonists (Bromocroptine)
55 year old pt presents with acute “broken speech”.
What type of Aphasia?
What lobe and Vascular Distribution?
Broca’s
Frontal Lobe
Left MCA Distribution
Most common cause of SAH
Trauma
2nd most common- Berry Aneurysm
Crescent shaped hyperdensity on CT that does not cross the midline
Subdural Hematoma
Bridging Veins Torn
Hx significant for initial altered mental status with an intervening lucid interval
Dx
Most likely source?
Tx?
Epidural Hematoma
Middle Meningeal Artery
Neurosurgical Evacuation
CSF findings with SAH
Elevated ICP
RBCs
Xanthochromia
Albuminocytologic Dissociation
Guillain-Barre Syndrome (Increase protein in CSF without a significant increase in cell count)
Cold water is flushed into a pt ear, and the fast phase of nystagmus is toward the opposite side. Normal or pathologic?
Normal
Most common 1 source of metastases to the brain
Lung Breast Skin Kidney GI
May be seen in children who are accused of inattention in class and confused with ADHD
Absence Seizures
Most frequent presentation of intracranial neoplasm
Headache
Most common cause of seizures in children (2-10 years)
Infection
Febrile
Trauma
Idiopathic
Most common cause of seizures in young adults (18 - 35)
Trauma
Alcohol withdrawal
Brain Tumur
1st line med for status epilepticus
IV Benzodiazepine
Confusion
Confabulation
Ophthalmoplegia
Ataxia
Wernicke’s Encephalopathy due to deficiency of thiamine
What % of lesions is an indication for carotid endarterectomy
70% is the stenosis is symptomatic
Most common cause of dementia
Alzheimer’s and Multi-Infarct
Combined UMN and LMN disorder
ALS
Rigidity and stiffness with resting tremor and masked facies
Parkinson’s Disease
Mainstay of Parkinson’s Therapy
Levodopa / Carbidopa
Tx for Guillain-Barre Syndrome
IVIG or Plasmapheresis
Rigidity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior
Huntington’s Disease
6 year old girl presents with port-wine stain in the V2 distribution as well as with mental retardation, sqizures, and ipsilateral leptomeningeal angioma
Sturge-Weber syndrome
Tx- Symptomatically
Possible focal cerebral resection of the affected lobe
Cafe Au Lait spots on skin
Neurofibromatosis Type 1
Hyperphagia
Hypersexuality
Hyperorality
Hyperdocility
Kluver-Bucy Syndrome (Amygdala)
May be administered to symptomatic pt to diagnose myasthenia gravis
Edroponium
