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33 Cards in this Set
- Front
- Back
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encephalitis lethargica
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- fevers, lethargy, HA, distrubed eye movements
- chorea, athetosis, dystonia, myoclonus - sequelae: parkinson's |
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Neurologic injury in sarcoid?
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- CN VII
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Poliomyelitis
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- purely motor dz
- many times confused with GBS - CSF: increased protein, white count |
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MCC fungal meningitis
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- cryptococcus, has capsule
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path of S. mansoni spinal cord injury?
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- egg deposit in veins => granulomas form around that lodge in spinal cord => crush cord
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kid with left weakness, MRI => parasitic brain lesion => large cyst with numerous daughter cyts
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- echinococcus
- in kids causes brain lesions => grows => focal deficits |
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CJD EEG
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- slowing and triphasic waves
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kid with lots of episodes of meningitis?
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- CSF leak
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imaging to look for infx, tumor in brain?
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- CONTRAST CT
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rim enhancing lesion in AIDS?
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- get CSF, test for eBV => dx of primary CNS lymphoma
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tx of toxo?
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-sulfadiazine and pyrimethamine
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AIDS, MRI shows demyelinating lesion of left parieteooccipital area?
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- JC virus => PML
- get CSF PCR - tx: HAART |
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Herpes encephalitis CSF
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- increased lymphocytes
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Bell's Palsy CN?
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- VII
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Kid with amebic meningoencephalitis?
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- s/p swimming => hartmanella, acanthamoeba, naegleria => cribiform => meningoencephalitis
- or schisto via skin penetration |
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microglial nodules?
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- seen in AIDS around blood vessles
- or seen in CMV subpial and subependymal |
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EEG in herpes?
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- pt often have seizures so bilateral, periodic epileptiform discharges
- slow waves over temporal area |
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Kid with BILATERAL CN VII deficits?
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- B. burgdorferi
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MCC brain abscess?
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- hematologic spread of infx e.g. chronic otitis, mastoiditis
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MCC site brain abscess?
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- gray white matter junction
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gumma
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- largely or entirely avascular granuloma
- seen in neurosyphillis |
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MCC fungal abscess vs fungal meningitis vs abscess in AIDS
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- abscess: aspergillus
- meningitis: cryptococcus - AIDS: toxo (parasite, not fungus) |
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rabies spread?
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- retrograde in nerves e.g. inward from periphery
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MC sx in brain abscess? tx?
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HA
tx: surgery |
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bacterial brain abscess?
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- staph if penetrating wound or seurosug
- otherwise more common is strep or enteric bacteria |
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meningitis in old 91 y.o.?
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- listeria (also renal dz, immunosuppressed, neonates)
- tx: amp and gent |
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transmissino of CJD?
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- infected nervous system tissue e.g. GH prep from cadaver pituitary
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Path of PML
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- oligodendrocyte inclusion bodies
- MRI white matter lesions, non-enhancing, no mass effect |
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CSF polio vs GBS
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- GBS: increased protein, normal or slightly abnormal white cell, normal glucose
- polio: increased protein, increased WBC, like viral meningitis |
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tabes dorsalis vs neurosyphillis
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- tabes: type of neurosyph, leptomeningitis => posterior columns and dorsal roote ganglia => gait, romberg, argyll robertson pupil, bladder/bolwe loss (megacolon)
- neurosyphillis: dementia |
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subacute sclerosing panencephalitis
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- teenagers with hx measles
- sx similar to MS: increased gammaglobulin fx, oligoclonal bands - see personality changes, loss of intelligence, seizures, chorioretinitis, ataxia => dead |
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cat-scratch
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- B. henselae
- MS changes, epitrochlear nodes, seizures 2/2 encephalitis - MRI: increased pulvvinar intesnity |
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south american man with seizures, nodular cyst on CT
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- neurocysticercosis: tapeworm
- multiple small cysts in cerebrum |
