Cranial Conditions Flashcards

1
Q

What are symptoms of optic neuritis?

A

Pain on eye movement
Reduced visual activity
Reduced colour vision

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2
Q

What is optic neuritis associated with?

A

Multiple sclerosis

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3
Q

What causes optic neuritis?

A

Demylemation within optic nerve

Mononuclear vision loss

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4
Q

What innervation causes constriction of pupil?

A

Parasympathetic

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5
Q

What does loss of parasympathetic input to pupil cause?

A

Fixed dilated pupil

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6
Q

What nerve is affected in a fixed large pupil?

A

Complete third nerve palsy

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7
Q

What can cause a dilated pupil?

A
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8
Q

What causes small pupils?

A
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9
Q

What is Horner’s syndrome? (Cause and symptoms)

A

Can be caused by a tumour at the top of the lung

partial ptosis (drooping or falling of upper eyelid), miosis (constricted pupil), and facial anhidrosis (loss of sweating) due to a disruption in the sympathetic nerve supply.

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10
Q

What is disrupted in hormer’s sysmdrome?

A

Can’t sweat on effected side of face

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11
Q

What is nystagmus?

A

a rhythmical, repetitive and involuntary movement of the eyes

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12
Q

What can cause microvascular third nerve palsy?

A

Diabetes

Hypertension

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13
Q

What can cause compressive third nerve palsy?

A

Posterior communicating artery aneurysm

Raised ICP

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14
Q

What is the difference in symptoms of microvascular and compressive third nerve palsy?

A

Microvascular is painless

Compressive is painful

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15
Q

What can cause an isolated sixth nerve palsy?

A

Idiopathic
Diabetes
Meningitis
Raised intracranial Pressure

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16
Q

What is trigeminal neuralgia sensitive to?

A

Hot and cold

17
Q

What causes trigeminal neuralgia?

A

Caused by a vascular loop

Compression of fifth nerve in the posterior fossa

18
Q

What can treat trigeminal neuralgia?

A

Carbamazepine (sodium channel blocker)

19
Q

What type of motor lesion is Bell’s palsy?

A

Lower motor neuron type

20
Q

How do you treat Bell’s palsy?

A

Steroid

21
Q

What nerve is affected in vestibular neuronitis?

A

Vestibulocochlear nerve

22
Q

What are the symptoms of vestibular neuronitis?

A

Disabling vertigo
Vomiting

23
Q

What is dysarthria?

A

Disordered articulation, slurring of speech

24
Q

What is dysphasia?

A

Difficulty swallowing

25
Q

What can dysarthria and dysphagia be?

A

Bulbar and pseudonulbar

26
Q

Compare bulbar and pseudobulbar?

A

Bulbar - lower motor neurone

Pseudobulbar- upper motor neurone