Neuro wards Notes.docx - Amantadine zeniside treatment Tardive Dyskinesisa Stroke non-contrast head CT(w\/contrast CT neurosx looking bone v abscess v

Neuro wards Notes.docx - Amantadine zeniside treatment...

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Amantadine, zeniside- treatment Tardive Dyskinesisa S t roke - non-contrast head CT (w/contrast CT- neurosx looking @ bone v. abscess v. mass + MRI contraindication) NIH stroke scale : 4/+ cut off for TPA; Thrombectomy 6/+ about how proximal clot is 6/+ CT angio (vasculature)/ CT perfusion (timing- penumbra worth saving?) AMS DDx : Metabolic Encephalitis Seizures: post ictal v. status TODDs paralysis COPD/Asthma- CO2 narcosis Embolic phenomena HTN encephalopathy PRES (new onset sz and HTN, blindness (occipital lobes) Can see on MRI T2 and FLAR) MRI can show : encephalopathy, embolic phenomena, atrophy Interictal EEG : sz foci in the brain HiNTs exam : Positive HiNTs Criteria (at least 1 of 3 positive) suggestive of cerebellar CVA or Brainstem CVA 1. Normal Horizontal Head Impulse Test (no saccade/correction on head rotation) OR 2. Nystagmus that changes direction (or Vertical Nystagmus or torsional Nystagmus ) OR 3. Skew Deviation on Alternate Eye Cover Test a. Uncovered eye demonstrates quick vertical gaze corrections
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  • Winter '14
  • non-contrast head ct, new onset sz, embolic phenomena, v. abscess v., w/contrast CT- neurosx

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