Neuro Emergencies

Question 1

• Unilat neck pain, HA, ipsilateral Horner’s syndrome, Cerebral or ocular ischemia and CN palsies
• Angiography, US, MR/A, CTA
• Antiocoag

Answer 1

Carotid Dissection

Question 2

HA, jaw claudication, polymyalgia, visual sypmtoms

• High sed rate, US, CT/MRI, temporal artery biopsy
• Prednisone

Answer 2

giant Cell arteritis

Question 3

Decreased LOC, HA (worse with straining), neuro symptoms, lethargy

• CT, LP,
• Ventric,

Answer 3

Increased ICP

Question 4

2+ convulsions w/o regaining consciousness

-Lorazepam or diazepam

Answer 4

Status epilepticus

Question 5

Fever, back pain, and neuro deficits
MRI
Abx an dsurgery

Answer 5

Epidural abscess

Question 6

Pain with neuro deficits

Radiation or surgery

Answer 6

Cord compression

Question 7

• Develops over 1-3 days. Fever, muscular rigidity,, autonomic dysfunction, AMS
• Supportive cares, cessation of offending drug
• Adverse rxn to neuroleptic or anitpschotic
• Dx criteria

Answer 7

Neuroleptic malignant syndrome