neurology Flashcards
(26 cards)
features of Normal Pressure Hydrocephalus
Urinary incontinence , gait instability and dementia.
management of NPH
VP shunt ,
Features of Parksinson triad and which side effected by PD
Bradykinesia
tremor
Rigidity
asymmetrical
Other Features of PD - not in triad
Mask like face
Flexed posture
micrographia
Drooling
Psychiatric - Emotional, Dementia , Pschosis , Sleep
Impaired olfaction
REM disoreder
Postural hypotension.
what test to diagnose myaesthenia gravis
Anti - Acetylcholine receptor antibodies.
which infection is most common with Guillian barre
Campylobacter Jejuni.
features of Guillian Barre
Progressive peripheral polyneuropathy - Hyporeflexia and symmetrical.
features of MS.
Multiple sclerosis can cause weakness and sensory loss, but these are usually asymmetrical and associated with hyperreflexia.
when to take triptan
not when aura but when headache comes on
when to avoid triptans
in IHD or CVD
complex regional pain managed with ?
amitryptaline (or neuropathic agent) and PT
biggest risk factor for bels palsy
preggerz
Features of Cluster Headache
description of pain
timeframe
length of each pain
character
accompanying symptoms
neurological signs ?
once or twice a day
15mins to 2 hours once or twice a day
intense and sharp - around one eye always same side
restless and agitated
redness, lacrimation and lid swelling
nasal stuffiness
miosis and ptosis
how long does an aura last
5-60mins
which drug prolongs life in MND
Riluzole - used in AML
management of generalised tonic clonic seizures
Sodium Valproate 1st
2nd - lamotrigine / carbamazepine
lamotrigine in preggerz
treatment of absent seizures
sodium valproate / ethosuximide
treatment of myoclonic seizures
sodium valproate 1st
2nd lamotrigine / clonazepam
Focal Seizure treatment
carbamazepine / lamotrigine first line
second line sodium valproate / oxcarbazepine/Keppra
which seizures can carbamazepine exacerbate
myoclonic or absent (the two that don’t use it in management )
Visual Presentations of MS
oPTIC Neuritis
optic atrophy
Uhthoff’s phenomenon: worsening of vision following rise in body temperature
internuclear ophthalmoplegia
sensory presentations of MS
pins/needles
numbness
trigeminal neuralgia
Lhermitte’s syndrome: paraesthesiae in limbs on neck flexion
common side effect when taking triptan
tightness of chest and throat
which antiemetics cause PD to get worse
Haloperidol
Metoclopromide (both block dopamine
h3 antagonists like cyclizine and prochlorperazine.
