Flashcards in Neurology Deck (28):
Prophy tx for migraine
Anti-HTNsives, anti-depressants, anti-convulsants
MC pituitary tumor. Tx?
-Tx: DA agonists (ex: bromocriptine)
55 yo pt presents with acute "broken speech." What type of aphasia? What lobe and vascular distribution?
Broca's aphasia. Frontal lobe, L MCA distribution.
MCC of SAH
2) Berry aneurysm
Crescent-shaped hyperdensity on CT that does not cross the midline
Subdural hematoma (bridging vv. torn)
Hx significant for initial AMS with an intervening lucid interval. Dx? Most likely source? Tx?
-Dx: epidural hematoma
-Source: middle meningeal a.
-Tx: neurosurgical evacuation
CSF findings with SAH
Elevated ICP, RBCs, xanthochromia
Guillain Barré syndrome (increased protein in CSF without a significant increase in cell count)
Cold H2O is flushed into a pt's ear, and the fast phase of the nystagmus is toward the opposite side. Nl or pathologic?
MC 1˚ sources of mets to the brain
"Lots of Bad Stuff Kills Glia": Lung, Breast, Skin (melanoma), Kidney, GI tract
May be seen in kids who are accused of inattention in class and confused with ADHD
Most frequent presentation of intracranial neoplasm
MCC of szs in kids (2-10 y/o)
Infxn, febrile szs, trauma, idiopathic
MCC szs in YA
Trauma, EtOH w/d, brain tumor
1st line medication for status epilepticus
Confusion, confabulation, ophthalmoplegia, ataxia
Wernicke's encephalopathy d/t thiamine deficiency
What % lesion is an indication for carotid endarterectomy?
70% if stenosis is sxic
MCCs of dementia
Alzheimer's and multi-infarct
Combined UMN and LMN d/o
Rigidity and stiffness with resting tremor and masked facies
Mainstay of Parkinson's therapy
Tx for Guillain-Barré syndrome
IVIG or plasmapheresis
Rigidity and stiffness that progresses to choreiform movements accompanied by moodiness and altered behavior
6 yo F presents with a port-wine stain in the V2 distribution as well as mental retardation, szs, and IPSI leptomeningeal angioma. Dx? Tx?
Tx: Sxically. Possible focal cerebral resection of the affected lobe.
Café-au-lait spots on skin
Neurofibromatosis type I
Hyperphagia, hypersexuality, hyperorality, and hyperdocility
Klüver-Bucy syndrome (amygdala)
May be administered to a sxic pt to diagnosis myasthenia gravis