Neurology Symposium

Question 1

Cause of blackouts?

Answer 1

Syncope, epilepsy, non-eplieptic attack, NEAD

Question 2

What is syncope?

Answer 2

Postural hypotension w/ preceding symptoms

Question 3

What would you expect to see in non-epileptic attack?

Answer 3

Movement and frequency can change

Often jerking

Question 4

What is tonic-clonic seizure?

Answer 4

Tonic - rigid, clonic = jerky

Question 5

What is status epilepticus and how manage?

Answer 5

Continuous or recurrent seizure - incomplete recovery in between
Last >5 mins
High mortality - risk hypoxic brain injury

Manage
ABCD - 999
Benzodiazepine - buccal/IM midazolam 10mg
AEDs - anti-epileptic drug

Question 6

What is focal weakness, management and causes?

Answer 6

Sudden collapse - unable to weak w/ weakness
Cause: stroke, interrupted blood supply to brain
Priority - transfer hospital immediately

Question 7

Tx of acute stroke - hospital tx?

Answer 7

1. Mechanical thrombectomy
2. IV thrombolysis - if arrive 4 hours
3. Oral antiplatlets

Need to be sent for CT scan and assess for suitability for thrombolysis/ thrombectomy

Question 8

Use of CT scan in strokes?

Answer 8

To see if ischaemic or haemorrhaic
If RHS weakness - LHS infarct
Can’t pick up stroke in acute window