neurosurg tut - headaches Flashcards
1
Q
perinaud syndrome is?
A
upgoing gaze with pressure on tectum
2
Q
Kernig Sign is?
A
stretch the nerve/dura
3
Q
which cranial has most wide spread nuclei? consequence?
A
trigeminal
can get referred pain
4
Q
what is apoplexy?
A
bleeding in the pituitary
5
Q
which aneurysms are more at risk of rupture?
A
ACA >7mm
post. circulation
AComm >4mm
smokers
6
Q
when does vasospasm commence in SAH?
A
around 3 days you get blood product breakdown.
7
Q
how to treat cerebral vasospasm?
A
Nimodipine
verapamil
increase fluids
8
Q
goal of SAH management?
A
prevent rebleed
prevent vasospasm
9
Q
HHH therapy
A
hypertension
hypervolemaemia
haemodilution
10
Q
kinds of headaches?
A
primary: migraine etc.
secondary: caused by something else
