Neuro Interviews

Question 1

What is an important quality question related to dizziness?

Answer 1

Does it feel like the world is spinning

Question 1

What are associated features to ask for with migraine?

Answer 1

Nausea

Vomiting

Photophobia

Phonophobia

Aura - visual, speech, sensory, hearing changes

Question 1

What is dysaesthesia?

Answer 1

All positive sensory changes, whether due to a stimulus or not

Question 2

What pattern of distribution can sensory disturbance present with?

Answer 2

Glove and stocking

Dermatome

Peripheral nerve distribution

Hemisensory

Question 3

What are the 3 types of syncope that we must be aware of?

Answer 3

Vasovagal

Cardiac

Seizure

Question 5

What are the associated features to ask about for dizziness?

Answer 5

Vision problems

Deafness/tinnitus

Fever

Nausea

Seizures

Headaches

Relation to posture

Question 6

What are some way the quality of a sensory disturbance can be described?

Answer 6

Tingling

Burning

Sharp

Pins + needles

Numb

Question 7

How does the site of pain differ between TTH and migraine?

Answer 7

Migraine is typically unilateral

TTH usually bilateral and may be described as band-like

Question 7

What are some aggravating factors for cognitive impairment?

Answer 7

Being in a different setting eg outside the home

Evening vs day time

Question 8

What are the two main types of headache?

Answer 8

Tension-type headache

Migraine

Question 10

What are the 4 different types of dizziness?

Answer 10

Pre-syncope

Vertigo

Disequilibrium

Non-specific dizziness

Question 11

What are some associated features of cognitive impairment?

Answer 11

Ahedonia

Dyarthria (muscle control problem)

Dysphonia (vocal cord control problem)

Dysphasia

Apraxia

Behavioural changes

Changes in executive function

Question 12

What is the difference between hyperalgesia and hyperaesthesia?

Answer 12

Hyperalgesia is heightened response to a noxious stimulus while hyperaesthesia is increased in sensitivity to any stimulus

Question 13

What are some possible associated features for muscle weakness?

Answer 13

Pain in muscles

Sensory changes

Speech changes

Question 14

How is severity determined with cognitive impairment?

Answer 14

How much it effects their daily lives

• eg cooking, shopping eg

Question 15

What is a possible associated feature of TTH?

Answer 15

Mild muscle tenderness

Question 16

What is paraesthesia?

Answer 16

Abnormal sensation perceived without an abnormal stimulus

Question 17

What are some associated features of sensory disturbance?

Answer 17

Weakness

Gait

Coordination problem

Question 18

What is the onset of migraine like?

Answer 18

Gradual with crescendo pattern

Question 19

How can you determine the severity of muscle weakness?

Answer 19

Ask them how it effects specific daily activities

• eg brushing hair

walking

Question 20

What are some key differentiating features of seizures cf to other syncopes?

Answer 20

Tonic/clonic phase

Usually 1-2 minutes (cf

Tongue biting

Head turning

Cry or moan at onset

Frothing at mouth

Incontinence of urine

Slow recovery

Confusion afterwards

May feel exhausted and sleepy

Question 22

What is the TC of TTH like?

Answer 22

Waxes and wanes

Variable duration

Question 23

What are some causes of muscle weakness that have sudden onset?

Answer 23

Vasculature events

Trauma

Seizures/electrical disturbances