Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
19 Cards in this Set
- Front
- Back
|
what are the 5 main lacunar syndromes that may arise from lacunar infarct
|
pure motor hemiparesis
pure sensory stroke sensory motor stroke ataxic hemiparesis |
|
|
ring enhancing lesion on CT with seizures could be what
|
"DR MAGIC"
D = Demylinating Ds (e.g. MS) R = Radiation Necrosis or Resolving Hematoma (i.e. contusion) M = Metastasis A = abscess (most common) G = Glioblastoma Multiforme I = Infarct (subacute) or Infection (HSV, Neurocysticercosis, Toxoplasma) C = Cancer (lymphoma) |
|
|
what is seen in the CSF of SAH
|
increase pressure
RBC's in serial tubes xanthochromia (if couple-day-old stroke) |
|
|
which meds are known for causing seizures
|
LOWERS SEIZURE THRESHHOLD:
bupropion buspirone enflurane many narcotics theophylline psychostimulants MEDICATION WITHDRAWAL benzos barbs alcohol anticonvulsants OTHER CAUSES: B6 def (important in production of GABA) |
|
|
presentation of seizure:
simple partial |
FOCAL sensory deficits
(e.g. parasthesias, hallucinations) FOCAL motor deficits (e.g. repetitive or purposeless mvmts) NO loss of consciousness |
|
|
presentation of seizure:
complex partial |
hallucinations (auditory, visual, olfactory)
automatisms (repeated coordinated mvmt) deja vu IMPAIRED consciousness |
|
|
presentation of seizure:
generalized convulsive |
muscle contractions/jerking
(e.g. tonic, clinic, tonic-clonic, myoclonic, atonic) WITH post-ictal confusion |
|
|
presentation of seizure:
absence |
IMPAIRED consciousness (brief/seconds)
possible eye-blinking normal muscle tone NO post-ictal confusion |
|
|
Rx to prevent myoclonic seizure
|
valproate
|
|
|
Rx to prevent absence seizure
|
ethosuximide, valproate, clonazepam
|
|
|
Rx to prevent partial seizure
|
phenytoin, carbamazepine, lamotrigine
|
|
|
Rx to prevent grand mal (tonic-clonic)
|
valproate
carbamazepine phenytoin (phenobarbital in children, prego's) lamotrigine topiramate |
|
|
seizure med a/w:
gingival hyperplasia |
phenytoin
|
|
|
seizure med a/w:
DOC for absence |
ethosuximide
|
|
|
seizure med a/w:
second choice for absence |
valproate, clonazepam
|
|
|
seizure med a/w:
DOC for trigeminal neuralgia |
carbamazepine
|
|
|
what is the MCC of drug-induced SJS
|
lamotrigine
|
|
|
what is the initial concern for seizures mgmt
|
ABC's
|
|
|
MCC's of seizure:
children aged 2- 10 y/o? young adults aged 18 - 35 y/o? |
CHILDREN 2 - 10 Y/O:
#1 febrile #2 infections #3 trauma #4 idopathic
#2 EtOH withdrawal #3 brain tumors |
