Other Neuro Questions Flashcards
If a patient presents with weakness that started in the lower extremities and has moved up to the upper extremities, what diagnosis are you thinking?
guillan barre syndrome
Q: What causes guillan barre syndrome?
Immune mediated demyelination; often associated with Campylobacter or other GI infections
What might you find on PE with GBS?
Weakness, paresthesias, and decreased DTR
How would you make the diagnosis of GBS?
CSF looking for high protein with normal WBC count
How would you treat someone with GBS?
Plasmapharesis & IV immune globulin
What about prednisone for GBS?
NO! contraindicated!
If a patient presents with unilateral facial paralysis, what ddx?
Bell’s palsy
What CN is effected in Bell’s Palsy?
7
What on PE will a bell’s palsy patient not be able to do?
they can’t wrinkle both sides of their forehead (or raise affected eyebrow)
How do you treat bell’s palsy?
Prednisone
What is the underlying cause of bell’s palsy?
HSV
