Neurology Flashcards
what’s in a developmental histroy
major miletsones
speech and language
self help skills
vision and hearing assessment
what’s in the neurological examination
observation skills
appearance
gait
head size
what’s in a headache exaination
growht parameters sinuses teeth fundoscopy cranial bruit focal neurological signs
how does a childhood migraine present
abdominal pain nausea vomting focal symptoms aggravated by light and noise relation by sleep and dark room
how does a TTH in a child preswnt
diffuse symmetrical band like present most of the time constant ache
what is the treatment for a migraine
pain relief
prevent- pizotifen, propanolol
treatment for TTH
aim to reassure MDt attention to underlying simple analgesia prevent with amittirptyline
what are indications for neuroimaging
features of cerebella dysfunction raised intracranial pressure new neurological deficit seizures personality change
what is a seizure
any sudden attack
what is a syncope
faint
what is a convulsion
seizure wheree there is prominent motor activity
what is a en epileptic seizure
abnormal excessive discharge from a group of cortical neutrons
what are the different types of seizures
focal - one lobe or hemispehere
generalised-both hemishphers
different characteristics of seizures
tonic-stiff atonic-floppy clonic-violent muscle contractions tonic clinic- tense muscles then contracting myoclonic absent
what are the differences in childhood epilepsy
most are idiopathic
most are generalised
seizures can be subtle
