Term
| 1/3 of all pts w/ cranial lesions present w/ a CC of |
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Definition
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Term
| dull, "band-like" HA w/ pain located bilat in fronto-occip. region. worse as day progresses |
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Definition
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Term
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Definition
prophylax: amitriptyline
tx: NSAIDS or APAP
relaxation techs |
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Term
| unilat. Throbbing/pulsatile HA w/ transient neuro sx (us. visual) gradual onset. many triggers |
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Definition
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Term
|
Definition
Prophylax: CCB, BB, TCA, SSRI, amitriptyline
Tx: ergot derivs, triptans |
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Term
| HA w/ episodes (30-180mins) w/ SEVERE unilat periorbital and temporal pain for several wks w/ congestion, rhinorrhea, lacrimation, eye redness, or horners sx. Sudden onset. most common in middle aged men! |
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Definition
| Cluster--> ppt by ETOH and vasodilators |
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Term
|
Definition
prophylax: VPA, Lithium, prednisone, verapamil
oral drugs us. not helpful
triptans, O2 |
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Term
| HA w/i a day or so after injury and worsen of next wks |
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Definition
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Term
| major complication of arteritis? how is it tx? |
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Definition
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Term
| tansient disturbance of cerebral fxn d/t abnml paroxysmal neuronal dischare in brain |
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Definition
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Term
| d/o characterized by recurrent seizures? |
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Definition
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Term
| one cerebral hemisphere of brain activated in this type of seizure |
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Definition
partial
(simple or complex) |
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Term
| seizure where consciousness preserved. focal motor or somatosensory sx that spread to diff pts of body. some only phenomenom (deja vu, illusions/hallucinations) |
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Definition
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Term
| seizure where consciousness is impaired. acommpanied or followed by psychic sx and automatisms |
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Definition
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Term
| types of generalized seizures |
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Definition
abscence
atypical
myoclonic
tonic-clonic |
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Term
| seizure w/ brief impairment of consciousness. begins in childhood and ends by age 20 |
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Definition
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Term
| seizure w/ gradual onset and termination w/ marked changes in tone |
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Definition
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Term
| seizure w/ single or multiple myoclonic jerks |
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Definition
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Term
| seizure w/ sudden LOC w/ rigidity, stops breathing and then sudden jerking occurs |
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Definition
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Term
| tx of partial and tonic clonic seizures best w/ |
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Definition
| carbamazepine, phenytoin, or VPA |
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Term
| focal neuro deficit w/ acute onset and resolves completely w/i 24 hrs |
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Definition
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Term
| what test should be done in pts w/ stroke |
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Definition
| CT scan W/O CONTRAST (in case of brain bleed!) |
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Term
| intracerebral hemorrhage is usually d/t______ and occurs in _____ ______ |
|
Definition
d/t HTN
occurs in basal ganglia |
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|
Term
brain bleed usually d/t rupture of aneurysm or A/V malformation
"thunderclap HA" |
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Definition
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Term
| ?? Pt comes to out pt clinic w/ stoke sx and BP of 200/100, what do you do 1st? |
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Definition
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Term
| where do berry aneurysms occur |
|
Definition
at bifurcations-->
usually mult and asympto. |
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Term
| most aneurysms occur where? |
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Definition
| anterior circle of willis |
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Term
| most of these lesions lie in the middle cerebral aa. HA/seizures initial sx. PE reveals abn mental status and meningeal irrit. |
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Definition
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Term
| clinically silent lesion. can cause obstructive hydrocephalus--> progressive/relapsing brainstem deficits |
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Definition
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Term
| 50% of all primary intracranial neoplasms are what type? |
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Definition
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Term
| neurofibroma, hemangioblastoma, and retinoblastoma have ______basis |
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Definition
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Term
| this type of brain tumor is assoc w/ impaired upward gaze |
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Definition
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Term
| brain tumor in this area shows progressive intellectual decline, slowing of mental activity, personality changes, and contralat grasp reflexes |
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Definition
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Term
| tumor in this brain region causes seizure w/ smell and taste hallucinations, and motor phenom (lip smacking) |
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Definition
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Term
| tumor in this brain region causes disturbances of sensation and sensory seizures, sensory loss, or inattention |
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Definition
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Term
| tumor in this brain regions causes hemianopia, visual disturbances, ect |
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Definition
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Term
| what test is done to detect brain lesions and localize w/ shape and size? |
|
Definition
CT or MRI w/ gadolinium
angiography--> shows tumor vascularity |
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Term
| Most common sources of cerebral mets are from? |
|
Definition
| lung, breast, kidney, and GI tumors |
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Term
| most common source of leptomenengia mets |
|
Definition
| breast, lymphomas, and leukemia |
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Term
| most disabling sx of parkinson's |
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Definition
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Term
| most of the dx for dementia is made through what? |
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Definition
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Term
| presents w/ weakness, N&T, unsteadiness of limb, diplopia, ect |
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Definition
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Term
|
Definition
steroids--> acute relapses
B-interferon decr exacerbations |
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Term
| characterized by fluctuating weakness of voluntary mm--> diplopia, ptosis, difficulty swallowing. activity incr weakness! |
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Definition
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Term
|
Definition
| dx by response to short acting anticholinesterases |
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