Neurology - Headache, neuralgia, seizure, cerebellar syndrome Flashcards
Components of paediatric neurological exam
Metrics examined in paediatric neurolgical exam
List primitive reflexes and time of disapperance
Instructions on paediatric reflexes
Headache
Types
Headache
Pathophysiology
Ddx primary headaches
Ddx secondary headaches
History taking questions for headache
Red flag S/S of secondary headache
Differentiate primary headache syndromes
Headahce
PE
Ix
Primary headache
Overview management
Tension type headache
Pathophysiology
Clinical presentation
Management
Migraine
Types
Classification
Migraine
Clinical features
Ddx migraine
Migraine treatment
Medication overuse headache
Causes
ManagementA
Define seizure
Define epilepsy
Seizure
Pathogenesis
Types of seizures
Focal/ Partial seizures
Types
Focal seizures
Regions of brain involved
Generalized seizure
Types and features
AEpileptic spasm
Feature
Post ictal period clinical features
Seizure
Diagnosis/ Core clinical features
Causes
D/dx epileptic seizure
Febrile seizure
Definition
Classifcation
Clinical features
Dx
Ix
Paroxysmal disorder/ non epileptic seizures
Ddx
Epilepsy
Causes according with age
Levels of epilepsy
Epilepsy
Structural etiologies
Epilepsy
Genetic etiologies
Epilepsy
Non-structural or genetic etiologies
List examples of epilepsy syndromes
Early infantile epileptic encephalopathy (EIEE)/ Ohtahara syndrome
Cause
Feature
Ix
Mx
Dravet syndrome
Cause
S/S
Mx
Infantile spasms/ West syndrome
Cause
Clinical features
Diagnosis
Ix
Mx
Lennox Gastaut syndrome
Cause
S/S
Ix
Mx
Benign epilepsy with centrotemporal spikes (BECTS)/ Benign rolandic epilepsy
Clinical features
Tx
Genetic epilepsy with febrile seizure plus (GEFS+)
Definition
Cause
Juvenile absence and Juvenile myoclonic epilepsy
Age of onset
Features
Epilepsy
Approach to diagnosis
Investigations
Epilepsy
General lifestyle modifications
AED
Indications for starting AED
Types of antiepileptics
Examples
Febrile seizure definition
- > 38 degrees fever,
- > seizure for <15 mins,
- > generalized usu GTCS, should not recur within 24h only one episode,
- focus of infection outside of CNS,
- PE no neurological abnormality,
- without history of afebrile seizure,
- age 6m-5y,
- in a developmentally normal child
Types of 1st line antiepileptics for different types of seizure
Caution of using anti-epileptics in women
Prognosis and control of epilepsy by AED
Drug resistant epilepsy
Definition
Management
AED withdrawal method
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Epilepsy surgery
Pre-op evaluation
Types of surgery
Status epilepticus
Definition
Types
Causes
Status epilepticus
General management
Acute management of status epilepticus
- Impending status
- established status
- refractory status
Flowchart for management of status epilepticus
Cerebellar
Anatomy and normal function
Cerebellar sign tests
Acute cerebellar syndrome causes
Subacute cerebellar syndrome causes
Chronic progressive cerebellar syndrome causes
Cerebrellar syndrome
Ix
Friedreich’s ataxia
Cause
S/S
Dx
Mx
Ataxia telangiectasia
Cause
S/S