Neurology Flashcards
Thunderclap headache
Subarachnoid haemorrhage
Xanthochromic
Presence of bilirubin in the CSF
Can be used to differentiate between traumatic tap and in vivo haemorrhage
Xanthrochromic lumbar puncture
Subarachnoid haemorrhage
Lucid period after head trauma
often followed by sudden collapse or deterioration
Extradural haemorrhage
Cogwheel rigidity
Parkinson’s disease
Woody texture muscle swelling
Duchenne or Becker MD
Raised CK
Muscular dystrophy
Mask like expression
Parkinson’s disease
Toe walker/positive Gower’s sign
Muscular dystrophy
Fluctuating cognitive deficit
Lewy body dementia
Delirium
REM disturbance (later in night)
Lewy body dementia
Vivid visual hallucinations (usually children, not threatenting)
Lewy body dementia
Acute onset cognitive disturbance that fluctuates
Delirium
Personality/behaviour changes > dementia
Frontotemporal dementia
= Pick’s disease
Memory and personality problems in someone with a history of CV disease
Vascular dementia
Stepwise deterioration
Vascular dementia
Pain on loud noise
Facial nerve palsy
Painful CN III palsy
Posterior communicating aneurysm
Myalgia + Myositis + myoglobulinaemia/uria
Rhabdomyolysis
Inflammatory myopathy with poor steroid response
Inclusion body myositis
Weakness + frontal balding + cataracts + ptosis
Myotonic dystrophy
Leg symptoms + midline shift
Falcine herniation
Back pain worse on coughing
Slipped disc
Headache worse on coughing
Posterior fossa issue
BL sciatica + male sexual dysfunction + bowel/bladder symptoms
Cauda equina syndrome
Pleocytosis on CSF
Bacterial meningitis
until proven otherwise
Migraine prophylaxis
1st - propranolol 2nd - amitriptyline
If neither of these work then try other drugs e.g. sodium valproate
Erb’s palsy
Injury to upper brachial plexus
Associated with shoudler dystocia
Klumpke’s palsy
= claw hand
Injury to lower brachial plexus
+VE Simmond’s test
Achilles tendon rupture
Anti-acetylcholine receptor antibody
Myaesthenia gravis
Purely motor symptoms across U and LMN with ocular sparing
Motor neurone disease