stroke Flashcards
how long after a TIA or stroke do you need to take off driving
1 month
do you need to inform the DVLA after single stork oe TIA
NO
how long off driving do you need to take for a syncopal episode that was inexplained
6 months
how long after explaind syncopal episode do you need before driving
4 weeks
2 or more unexplained syncopal episodes driving restrictions
12 months off
muscle relaxant of choie in rapid sequence induction
sux
features of osteongeneis imperfecta
weird teeth
blue scelra
fractures
deafness
what other type of investigation is done in Stroke that doesnt look at brain
cartoid US doppler
what arteries are affected in Total anterior circulation stroke
middle cerebral artery
anterior cerebral artery
symptoms of a MCA stroke
contralat motor and sensory loss
upper>lower
contralat hemonimous hemianopia
aphasia
symptoms of an ACA stroke
contral motor and sensory loss
lower> upper
what classification system is used for stroke
oxford stroke classification
symptoms of a total anterior circulation stroke
all 3 of
1. unilateral hemiparesis and/or hemisensory loss of the face, arm & leg
2. homonymous hemianopia
3. higher cognitive dysfunction e.g. dysphasia
what areteries are involved in a partial anteriro circulation storke
smaller arteries of anterior circulation e.g. upper or lower division of middle cerebral artery
symptoms of a partial anterior circulation stroke
2 of the:
1. unilateral hemiparesis and/or hemisensory loss of the face, arm & leg
2. homonymous hemianopia
3. higher cognitive dysfunction e.g. dysphasia
what is involved in webers syndrome
ipsilateral CN III palsy
contralat weakness
what sign differentiates between organic and non-organic causes of lower limb weakness
hoovers sign
onset in pseudo vs normal seizure
pseudo is gradual
true seizure is sudden
MS investigation
MRI with contrast
what neuro thing does B12 deficiency cause
subacute combined degeneration of the spinal cord
what tracts are involved in subacute combnined degenration of the spinal cord
DCML , lat corticospinla (limbs) nd spinocerebllar tracts
would hypo or hyper refelxia be seen in subacute combined degen of spinal cord
hyper refelxia
what diet is recommended to children with lennox- gastaut and poorly controlled epilepsy
ketogenic diet
prophylaxis options for migraine
contraindication for triptans
propanolo
topiramate - teratogenic
amitriptyline
history of cerebrovascular disease or ischaemic heart disease
history of a chronic subdural haematoma
weeks to months Hx of progressively worsening confusion, neuro deficit or reduced consciousness
how do chronic sundurals appear on CT
hypodense in contrast to acute
what is amaurosis fugax
a transiet loss of vision in on eye thta returns to normal s
what causes amaurosis fugax
retinal/opthalmic ischamia
what stroke causes locked in syndrome
basilar artery
gold standard for venous sinus thormbosis
MR venogram
ptosis + constricted pupil=
ptosis + dilated pupil =
- horners
- CN III palsy
what type of enema is used to check for leaks in a colon anastamosis and why
gastrografin as barium toxic if it leaks
what PPI should be used alongisde clopidogrel
lansoprezole
features of encephalitis
fever, headache, psychiatric symptoms, seizures, vomiting
focal features e.g. aphasia
cause of viral encephalitis
HSV -1
CFS finsings in encephalitis
ymphocytosis
elevetaed protein
investigation for encephalitis
LP + PCR for virus
MRI
what lobes are affected in ecephalitis
inferior frontal and temporal
management of viral encepahlitis
IV aciclovir
