Neuroscience and Pain Management Quiz
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Questions and Answers

Which tumor is associated with hydrocephalus and sudden death?

  • Glioblastoma multiforme
  • Colloid cyst (correct)
  • Pilocytic astrocytoma
  • Lymphoma

How is mechanical back pain associated with activity?

  • Worsens with activity (correct)
  • Improves with activity
  • Worsens with axial unloading
  • Relieved by standing

Where should the dissection take place during a transpsoas approach to the lumbar spine in order to minimize the risk of nerve injury?

  • Along the medial aspect of the psoas major (correct)
  • Posterior to the psoas major
  • Anterior to the psoas major
  • Through the bulk of the psoas major

What factors contribute to the intracranial hemorrhage (ICH) score for a patient with a hemorrhagic stroke?

<p>Patient age, Glasgow Coma Scale (GCS) score, acuity of ICH (C)</p> Signup and view all the answers

What is the symptom observed in a 17-year-old girl with episodic diplopia?

<p>Exotropia of the right eye</p> Signup and view all the answers

Flashcards

Colloid cyst

A type of tumor found in the brain's third ventricle that can cause hydrocephalus (fluid buildup in the brain) and lead to sudden death.

Mechanical back pain

Pain in the back caused by problems with muscles, ligaments, or bones that worsens with physical activity.

Transpsoas approach to the lumbar spine

This surgical approach to the lumbar spine aims to minimize nerve damage by dissecting along the inner side of the psoas major muscle, reducing the risk of injuring nerve roots during surgery.

Intracranial Hemorrhage (ICH) Score

A scoring system used to assess the severity of intracranial hemorrhage (bleeding inside the brain) by considering factors such as the patient's age, level of consciousness (GCS), and the speed of the hemorrhage.

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Exotropia

A condition where one or both eyes turn outward, causing double vision.

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Study Notes

### Hydrocephalus and sudden death

  • Colloid cyst is associated with hydrocephalus and sudden death.

### Complex Regional Pain Syndrome Type 2 (Causalgia)

  • Complex Regional Pain Syndrome Type 2 (Causalgia) is characterized by burning pain, autonomic dysfunction, and trophic changes that occur without obvious nerve damage.

### Intracranial Hemorrhage (ICH) Score

  • Factors that contribute to the ICH score include:
    • Patient age
    • Glasgow Coma Scale (GCS) score
    • Acuity of ICH
    • ICH volume

### Mechanical Back Pain

  • Mechanical back pain worsens with activity.

### Transpsoas Approach to the Lumbar Spine

  • To minimize the risk of nerve injury during a transpsoas approach to the lumbar spine, the dissection should take place along the lateral aspect of the psoas major.

Episodic Diplopia

  • Episodic diplopia in a patient with a history of transsphenoidal resection of a craniopharyngioma can be a sign of recurrent disease.
  • Carbamazepine can improve symptoms of episodic diplopia.

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Description

Test your knowledge on various neurological conditions such as hydrocephalus, intracranial hemorrhage, and complex regional pain syndrome. This quiz covers important factors including symptoms, risk management strategies, and underlying mechanisms related to these conditions.

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