O Connor Neuro Flashcards

1
Q

optic atrophy

A

Multiple Sclerosis
Compression (tumour/aneurysm)
Glaucoma

Ischaemic Optic Neuropathy
Toxic Ambylopia (lead, alcohol)
Nutritional Ambylopia (Vit B12 def)
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2
Q

Spastic Paraparesis

A
Multiple Sclerosis
Tumour causing cord compression
Trauma
Birth injury
MND
Parasagittal Meningioma
Ant. Spinal artery thrombosis
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3
Q

Parietal Lobe signs

A
Agnosis
Apraxia
Dysgraphia
Dyslexia
Dyscalculia
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4
Q

Things to assess in hemiplegia/stroke

A
Concious level
Speech
Motor
Sensory
Visual
Swallow
Sitting balance
Standing
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5
Q

Ocular Palsies

A

III Down and out
IV Adducted eye cannot look down–stairs
VI L or R

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6
Q

Ocular Palsy

A
PCA
Mononeuitis Multiplex
Demyelination
Raised ICP (VI)
Neoplasm
Diabetes
Brainstem vascular lesions
Subacute meningitis
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7
Q

Mononeuritis Multiplex

A
SLE
Wegner’s
Rheumatoid
Sarcoid
Amyloid
Sarcoid
Lyme
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8
Q

Subacute Meningitis

A

Lymphoma
Carcinomatous
Fungal

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9
Q

MND

A

Progressive Muscle Atrophy
Amyotrophic Latertal Sclerosis
Progessive Bulbar Palsy

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10
Q

Causes of fasciculation

A

Cervical Spondylosis
Syringomyelia
Thyrotoxic Myopathy
Charcot-Marie tooth disease

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11
Q

Homonymous Hemianopia

A

Stroke

Tumour

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12
Q

Tunnel Vision

A

Glaucoma
Retinitis Pigmentosa
Chorioretinitis

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13
Q

Bitemporal Hemianopia

A

Pituitary tumour
Craniopharyngioma
Suprasellar Meningioma
Aneurysm

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14
Q

Central Scotoma

A

MS
Ischaemia
Toxins
Nutritional

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15
Q

Cerebellar Syndrome

A
MS
Brain Stem Vascular
Posterior Fossa Lesion
Paraneoplastic syndrome
Alcohol
Cerebellar Degenerative Syndromes assoc with heriditary ataxia
Phenytoin
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16
Q

Peripheral Neuropathy

A
Alcohol
B12
Chronic renal disease
Cancer
Diabetes
Every Vasculitis

Charcot Marie Tooth
Lyme Disease

17
Q

Parkinsons symtoms

A

TRAP

Tremor
Rigidity
Akinesia/Bradykinesia
Postural instability

18
Q

Causes of Parkinsonism

A
Idiopathic PD
Drug Induced
Post encephalitic
Atherosclerotic
Normal pressure hydrocephalu
Steele-richardson
Shy-drager syndrome
LBD
Alzheimer’s disease
19
Q

Causes of unilateral optic atrophy and papilloedema

A

Foster Kennedy Syndrome

Tumour pressing on optic nerve causin optic atrophy and raised ICP (often a frontal meningioma)

20
Q

Dystrophia Myotonica

A
Myopathic face
Temporal muscle wasting
Frontal balding
Cataracts
Delayed hand grip
Cardiomyopathy
Cognitive impairment
Slurred speech
Diabetes mellitus
Testicular atrophy
21
Q

Wasting of Small muscles of the hand (bilateral)

A

This is common and usually benign

MND
Cervical spondylosis
Tumour C8,T1
Syringomyelia
Increasing age
22
Q

Wasting of Small muscles of the hand (unilateral)

A

Not normal. This is a red flag.

C8,T1 Root lesion
Cervical rib
Pancoast’s tumour
Trauma to brachial plexus
Combined median, ulnar nerve
23
Q

Papilloedema

A
Intracranial SOL (tumour, abscess, haematoma)
Accelerated Hypertension
Benign intracranial hypertension

Meningitis
Hyercapnia
Central retinal vein thrombosis
Cavernous sinus thrombosis

24
Q

Nystagmus

A

Ipsilatral Cerebellar
Contralateral vestibular lesion
Intranuclear opthalmoplegia
Physiological

25
Q

Vestibular Causes of Nystagmus

A

Meniere’s Disease
Acoustic Neuroma
Labyrinthitis

26
Q

Symptoms of Horners

A

Miosis Enophthalmos
Ptosis
Anhydrosis

27
Q

Causes of Horners

A
Neck surgery
Carotid Aneurysm
Brain stem vascular
Pancoast’s
Enlarged cervical LN
28
Q

dysarthria

A
Cerebellar
Pseudobulbar palsy
Bulbar palsy
Dystrophica myotonica
Myasthenia gravis
29
Q

Psuedobulbar palsy

A

UMN disorder of lower cranial nerves

Cerebrovascular disease
MS
MND
Brainstem infiltrative disease

30
Q

Bulbar Palsy

A

LMN lesion of lower cranial nerves

MND
Syringobulbia
GBS
Polio

31
Q

Cervical Myelopathy

A

UMN in four limbs

Sensory loss in hands

32
Q

Causes of unilateral LMN lesion of CN7

A
Bell’s palsy
Ramsay Hunt
CP Angle lesion
Parotid lesion
Mononeurits Multiplex
Trauma
33
Q

Causes of bilateral LMN lesion of CN7

A

GBS
Sarcoidosis
Myastenia Gravis
Lyme Disease

34
Q

Choreoathetosis

A
Sydenham’s Chorea
Huntington’s Chorea
Drug induced
Stroke
Intracerebral tumours
35
Q

Proximal Myopathy

A
Polymyalgia Rheumatica
Cushings
Thyrotoxicosis
Polymyositis
Dermatomyositis
Carcinomatous
Osteomalacia
Drugs
Renal Failure
drugs
Steroids
Alcohol
Amiodarone
B blockers
36
Q

Causes of Carpal Tunnel

A
Rheumatoid Arthritis
Hypothyroidism
Acromegaly
Pregnancy
OCP
Amylodosis
Idiopathic
37
Q

Ulnar nerve palsy

A

Fracture dslocation of elbow
OA elbow
Mononeuritis multiplex
RSI

38
Q

Radial nerve palsy features

A

Wrist drop

Saturday Night Palsy

39
Q

Features of common peroneal nerve palsy

A

Foot drop
Cannot stand on heel

Head of fibula