All Flashcards
Behavioral changes, chorea, and dementia prior to 50 y/o. Disease?
Hungtington
CT scan shows ccerebral and caudate nucelus atrophy
Idiopathic dopmaine depletion with Lewy bodies. Condition?
Parkinson
Signs of Parkinsons
- Resting tremor-pill rolling that is lessened with ovluntary activity
- Bradykinesia
- Rigidity
- Fixed facial expressions
- Shuffling gait
Treatment of Parkinsons
Levodopa/Carbidopa
What type of weakness pattern do patients with Guillain Barre Syndrome show?
Ascending weakness and presthesias that are usually symmetric-decreased DTR
CSF shows high protein with normal WBC count. Recent infection with Campylobacter. Treatment?
Plasmophresis or IVIG
*Prednisone contraindicated
Autoimmne antibodies againist acetylcholice postsynaptic receptor
Myastehnia gravis
Pt comes in ocular weakness, seeing double, inability to look up w/ eyes. Pupil response is normal. Muscle weakness worse with movement. What do you order?
- Acetylcholine receptor antiboides
- Tensilon test-improvement
- Ice pack test shows improvement after ten mins of ocular sx
Management of MG?
- Acetycholinesterase inhibitors: Pyridostigmine or Neostigmine
Cholingergic crisis
Weakness, miosis, diarrhea, seating, vomiting, salivation
Defect of what cranial nerve in Bells palsy?
CN 7
Pt presents with facial weakness. Upon evaluation of forehead, you notice wrinkling of both sides with downward slanting of mouth. Dx?
CVA
Trigeminal neuralgia affects what nerve?
CN 5
Trigeminal neuralgia in young patient should make you think of what dx?
MS
Prophylactic tx in cluster HA
Verapamil