Neurology Flashcards
Stroke symptoms face/arms>legs
MCA
Stroke symptoms legs>face/arms
ACA
Stroke symptoms visual
PCA
Stroke Symptoms- Wernicke’s receptive
L tempoparietal
Stroke Symptoms Brocas, expressive
L frontal
Vertebral A/posterior inferior cerebellar A “Wallenberg’s syndrome”
Acute vertigo, cerebellar signs, Horner’s
Lateral Medullary Syndrome
Confusion, dizziness, anxiousness Loss of consciousness
Hypoglycaemia
Uni/bilateral headache, pulsating Nausea, vomiting, photo/phonophobia Aura
CHOCOLATE: Cheese, OCP, Alcohol, Anxiety, Travel, Exercise
Migraine
Band across head Stress/”student doing exams”
Tension Headache
Jaw claudication, severe headache Fatigue, weight loss, sore throat Red face, scalp tenderness
Temporal Arteritis
Multinucleated giant cells
Polymyalgia Rheumatica
Shooting pains when brushing teeth Thinning beard
Tic douloueux
Trigeminal Neuralgia
Sharp bang, LOC, lucid period Gradual compression of brainstem
Extradural Haemorrhage
Elderly and/or alcoholics
Progressive development over months
Subdural Haemorrhage
Severe orbital/temporal pain “hot poker”
Occurs in groupings
Wakes up at night
Cluster Headaches
Progressive worsening of symptoms
Worse on coughing/sneezing/bending Headaches in morning
Space Occupying Lesion
Stepwise deterioration in function
CV risk factors
Memory loss, slow thought
Vascular Dementia
Memory loss, impaired speech, gets lost
Fails to recognise family on occasions
AD
Disinhibition, personality changes
Inappropriate behaviour
Memory normal,
Picks Disease
Rapid progression, dead in months
Myoclonus, memory loss, hallucinations
CJD
Parkinsonian features
Vivid visual hallucinations Sleep disturbance
Slow to follow instructions
Lewy Body Dementia
Ex-boxer/American football players
Features of alzheimer’s in their 40s
Chronic Traumatic Enceph.
Emotion/pain/fear/prolonged standing
Nausea, pale
Clonic jerking, no stiffness
Vaso-vagal Syncope
Arrhythmia leads to reduced CO and LOC
Pale, slow/absent pulse, flush after
Stokes Adams Attack
Weakness of legs leads to fall with LOC/confn
Drop Attack
Shaving/head turning leads to dizziness & syncope
Carotid Sinus Syncope