Neurology_Board_Review

Neurology_Board_Review - NEUROLOGY REVIEW For those who...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: NEUROLOGY REVIEW For those who still suffering from Neuro Here is my gift Enjoy 1 www.brain101.info Condition Pathogenesis Sx / Dx Rx Notes Sleep Disorders (dyssomnias) Intrinsic Extrinsic Circadian rhythm disorders Insomnia drugs (caffeine, antidepressants, MAO-I, bronchodilators, stimulants, steroids), stress, medical causes difficulty falling asleep or staying asleep hypnotics, sleep instructions, sleep restriction Obstructive sleep apnea syndrome narrow airway (blockage by tongue, pharynx, uvula) loud snoring ; frequent arousal at night; headache, depression, irritability, memory probs CPAP (continuous positive air pressure); surgery; weight loss risk Fx: obesity, EtOH, large tonsils or palate, retrognathia, micrognathia; assoc. w/ HTN, MI, stroke Narcolepsy genetic ( HLA-DR15 ); linked to orexin deficiency cataplexy (sudden loss of postural tone while awake, triggered by emotion/laughter); sleep paralysis; hypnagogic hallucinations; excess sleepiness; Dx: multiple sleep latency test stimulants (Ritalin, dextroamphetamine), tricyclic ADs for cataplexy atonia like REM sleep -> intrusion of REM sleep into wakefulness Restless legs syndrome assoc. w/ peripheral neuropathy, myalopathy, pregnancy, Fe-deficiency urge to move legs while sleeping dopamine agonists; pain meds, benzodiazepines Parasomnias NREM arousal disorders mosr common in 1st 1/3 of night (delta NREM) in children w/ family Hx different every time avoid precipitants, prevent injury Somnambulism during stage 3-4 of NREM sleepwalking Sleep Terror unexplained fright upon awakening vague memory of impending doom REM sleep behavior disorder not paralyzed during REM -> act out dreams; lack of atonia, disinhibition of brainstem centers abnl REM (Dx: incr. EMG); violent or injurous behavior during REM assoc. w/ Parkinson's, dementia, narcolepsy, meds, EtOH withdrawal Nightmare vivid memory of scary dreams (during REM) full alertness upon awakening Epilepsy Idiopathic Partial Benign Rolandic epilepsy onset age 2-13; AD inheritance w/ incomplete penetrance absence seizures; nocturnal clonic facial twitching, drooling; begins/ends abruptly; no post-ictal confusion; can be induced by hyperventilation usu. remits by 18 benign Symptomatic/ cryptogenic Partial Frontal lobe epilepsy brief (seconds); often nocturnal or upon awakening; agitated hypermotor behavior; no post-ictal state often misdiagnosed as psychogenic seizure Temporal lobe epilepsy aura of epigastric rising (nausea), psychic phenomena; blank wide-eyed stare & dilated pupils; lip-smacking Parietal lobe epilepsy aura of somatosensory Sx, vertigo Occipital lobe epilepsy visual hallucinations; post-ictal blindness if secondary to TLE or FLE Idiopathic Generalized Childhood Absence epilepsy onset age 2-10 brief; blank stare; abrupt onset & end; frequent; induced by hyperventilation usu. remits by 18 benign Juveline Absence epilepsy onset after puberty tonic-clonic seizures; infrequent less remission Juvenile Myoclonic epilepsy...
View Full Document

This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

Page1 / 16

Neurology_Board_Review - NEUROLOGY REVIEW For those who...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online