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29 Cards in this Set

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unilateral, severe periorbital h/a with tearing and conjunctival edema
cluster h/a
prophylactic treatment for migraine
B-blockers, CCBs, TCAs
55 y/o presents with acute 'broken speech'. What type of aphasia? What lobe and vascular distribution? First step in w/u?
Broca's
frontal lobe, left MCA
head CT to r/o hemorrhage
most common pituitary tumor?
Rx?
prolactinoma
Dopamine agoinists (bromocriptine)
Most common cause of SAH
trauma
2nd - berry aneurysm
crescent shaped hyperdensity on CT that does not cross midleine
SDH
CSF findings with SAH
increased ICP, RBCs, xanthochromia
61 y/o pt in ICU is awake and alert but cannot move anything but eyes and eyelids
locked in syndrome
cold water is flushed in patients ear and the fast phase of nystagmus is toward the opposite side. Normal or Pathological
Normal
COWS
cold opposite, warm same
most common primary sources of mets to brain
lung, breast, skin (melanoma), kidney, GIT
dysequilibrium associated with tinnitus and hearing loss. Rx?
Meniere's
acetazolamide
most frequent presentation of intracranial neoplasm
h/a
most common cause of seizures in children age 2-10
infection
febrile
trauma
idiopathic
most common cause of seizures in young adults (18-35)
trauma
alcohol withdrawl
brain tumor
mainstay of treatment for myasthenia gravis
immunosuppresants (prednisone)
first-line medication for status epilepticus
IV benzo
most common intracranial malignancy
mets
what percent lesion is an indication for carotid endarterectomy
70 percent if symptomatic
most common causes of dementia
Alzheimer's and multi-infarct
atophy of mammillary bodies
Wernicke's encephalopathy
combined upper and lower motor neuron disease
ALS
rigidity and stiffness with resting tremor and masked facies
parkinson's
mainstay of parkinson's Rx?
levo or carbidopa
treatment for Guillain Barre
IVIG or plasmapheresis
rigidity and stiffness that progress to choreiform movements accompanied by moodiness and altered behaviour
Huntington's
6 y/o girl presents with prot-wine stain in V2 distribution, mental retardation, seizures, and leptomeningeal angioma
Sturge-Weber syndrome
Rx symptomatically
possible focal cerebral resection of affected lobe
cafe au lait spots
NF1
hyperphagia, hypersexuality, hyperorality, hyperdocility
Kluver-Bucy syndrome (amygdala)
administer to symptomatic patient to dx myasthenia gravis
edrophonium