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Flashcards in Neuro Deck (128)
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1

PC:
- CONTRA weakness or sensory loss
- homonymous hemianopsia-- looking towards side of lesion
- aphasia

MCA

2

if you are right handed...

L dominant lobe
- handedness
- speech center

3

PC:
- personality and confusion
- urinary incontinence
- legs> arms

ACA

4

PC:
- IPSI sensory loss face, 9th, 10th CNs
- CONTRA sensory loss limbs
- limb ataxia

PCA

5

best initial test for stroke

non-contrast CT

6

diagnostic tests for stroke

1. ECHO- PFO, surgical valve, thrombus
2. EKG
3. Holter
4. carotid doppler-- degree of stenosis

7

tx for haemorrhagic stroke

NO TX

8

tx for ischaemic stroke less than 3hrs

thrombolytics

9

tx for ischaemic stroke greater than 3hrs

aspirin

10

tx for ischaemic stroke greater than 3hrs and already on aspirin

ADD dipyridamole
or SWITCH to clopidogrel

11

additional tx to add in for stroke

statins!

12

experimental window for thrombolytics

3-4.5hrs

13

carotid angioplasty and stenting

NOOOOOOO proven benefit
ALWAYS the wrong answer

14

% carotid stenosis and tx

less than 50%= no tx
greater than 70%= endarterectomy

15

PC pseudotumor cerebri

RICP and CN 6 palsy

16

risk factors for pseudotumor cerebri

- obese young female
- venous thrombosis
- OCP
- vit A excess

17

dx for pseudotumor cerebri

LP increase pressure

18

tx for pseudotumor cerebri

1. weight loss
2. acetazolamide

19

tx for cluster headaches

- triptans
- octreotide
- ergotamine
- 100% oxygen, lithium, prednisone= ABORTIVE, not for mgiraines

20

cluster prophylaxis

verapamil
prednisone
valproate

21

best preventitive tx for migraines-- if 3 attacks/month

propanolol
valproate

22

tx trigeminal neuroalgia

oxcarbazepine or carbamezapine

23

trigeminal neuralgia that doesn't improve with medication

gamma knife surgery

24

postherpetic neuralgia pain tx

- TCA's
- gabapentin
- pregabalin
- carbamezapine
- phenytoin
- topical capsaicin

25

reduce incidence of postherpatic neurlagia

antiherpetic medications

26

clearly effective treatment for peripheral neuropathy?

NOOOPE

27

when to do EEG

when tried to exclude all the causes
including CT or MRI

28

seizures of unclear etiology=

EPILEPSY

29

treatment for status epileptics

1. benzodiazepine
2. fosphenytoin> phenytoin
3. phenobarbital
4. GA

30

an unresolving seizure tx

NEUROMUSCULAR BLOCKING AGENTS
- succinylcholine
- vecuronium
- pancuronium