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Flashcards in Fergie Ferg Deck (20):
1

ACA Stroke

Contralateral Leg Weakness

2

MCA Stroke

Contra Face
Contra Arm/Leg
Contra visual field cut
Aphasia - dominant hemisphere
Apraxia - non-dominant (understand but cannot do)
Contra NEGLECT (RIGHT MCA)
Eye deviates toward site of stroke

3

PCA Stroke

Contralateral Visual Field Cut

4

Subcortical Lacunar Infarct

Contra motor/sensory deficit

NO Cortical signs of aphasia, apraxia, neglect

5

Basilar Artery Stroke

Occulomotor deficitis
"Crossed" face and body findings of sensory/motor deficits

6

Verterbral Artery Stroke

Lower cranial nerve deficits
"Crossed" face and body sensory deficits

7

Agnosia

Loss of ability to recognize an entiy for what it is

8

TPA

Thrombolytic
Plasminogen to Plasmin
Narrow window of use (3-5 hours of onset of neuro issues)
*affects outcomes 3 months down the road*

9

Types of strokes

Large arteries - usually embolus
Lacunar - hypertension

10

What is common after an ischemic stroke?

Hemorrhagic stroke!

Vessels become leaky when they are ischemic

11

Common sites of hemorrhagic stroke

Pons
Basal Ganglia
Cerebellum

12

Common cause of stroke in young people?

Vertebral dissection -- posterior circulation strokes

13

Hypokinesia

decreased body movements
BASAL GANGLIA

14

Parkinson's Disease associations

Substantia Nigra
Locus coreuleus
TRAP (tremor (resting...improves with movement), rigid (cog wheeling), akinesia, postural instability)
Small steps
Soft voice
Small handwriting
REM sleep behavior disorder
Orthostasis

15

Causes of secondary Parkinson's

Lesions
Infections (Von economo's encephalitis - lethargica)
Toxins (CO, carbon disulfide, manganese, L-BMAA toxicity (guam), MPTP
Prescriptions (neuroleptics like haloperidol, chlorpromazine, reserpine)
Trauma -- to SN or BG

16

What drug is given to diabetic gastroparesis patients that can cause a secondary parkinson's?

REGLAN

17

Deep Brain Stimulator

Advanced PD patients who are NOT demented
Only helps MOTOR Symptoms
Increases ON time

18

Lewy Body Dimensia

Tau protein in subcortical white
Parkinsonian motor precedes cognitive and psych features (a year before)
Visual hallucinations
Stare into space
Anterograde memory loss
Executive function deficits

19

Normal Pressure Hydrocephalus

WACKY - dementia (periventricular limbic system)
WOBBLY - magnetic gait (brainstem structures)
WET - urinary incontinence (sacral motor fibers)

20

Huntington's Disease Associations

Caudate/Putamen
CAG trinucleotide repeats
Chromosome 4
Genetic Anticipation
Hyperkinetic -- Chorea
Irritable, Loss of interest
Depression
Mania (Bipolar like)
INC rate of suicide