Flashcards in Neuro Deck (128)
Loading flashcards...
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
