Podcast
Questions and Answers
What is a common cause of epidural bleeding?
What is a common cause of epidural bleeding?
- Surgical complications
- Tear in middle meningeal artery (correct)
- Tear in bridging veins
- Rupture of cranial arteries
Which of the following features is characteristic of subdural bleeding?
Which of the following features is characteristic of subdural bleeding?
- Lucid interval without deterioration
- Rapid accumulation of blood (correct)
- Commonly caused by arterial tears
- Gradual increase in consciousness
What is the typical mortality rate associated with subdural bleeding?
What is the typical mortality rate associated with subdural bleeding?
- 40-50%
- 10-15%
- 50-80% (correct)
- 20-30%
Which symptom is considered the most reliable indicator of a concussion?
Which symptom is considered the most reliable indicator of a concussion?
What is the main treatment method for resolving a subdural hematoma?
What is the main treatment method for resolving a subdural hematoma?
Which condition is characterized by rhythmic, uniphasic contractions without spreading?
Which condition is characterized by rhythmic, uniphasic contractions without spreading?
What describes asterixis in terms of muscle activity?
What describes asterixis in terms of muscle activity?
Which movement disorder involves the involuntary contraction of eyelid muscles?
Which movement disorder involves the involuntary contraction of eyelid muscles?
What is the primary characteristic of polymyoclonus?
What is the primary characteristic of polymyoclonus?
What best describes Meige’s syndrome?
What best describes Meige’s syndrome?
What is a common symptom of an MCA stroke when the dominant hemisphere is affected?
What is a common symptom of an MCA stroke when the dominant hemisphere is affected?
Which symptom is characteristic of a PCA stroke?
Which symptom is characteristic of a PCA stroke?
What effect does damage to the optic tract have on visual fields?
What effect does damage to the optic tract have on visual fields?
What is the gold standard treatment for acute ischemic stroke?
What is the gold standard treatment for acute ischemic stroke?
Which symptom is typically spared in an ACA stroke affecting the motor regions?
Which symptom is typically spared in an ACA stroke affecting the motor regions?
What is a common symptom associated with neglect syndrome?
What is a common symptom associated with neglect syndrome?
What is the primary benefit of using anticoagulation therapy in patients with atrial fibrillation?
What is the primary benefit of using anticoagulation therapy in patients with atrial fibrillation?
Which of the following is a component of Horner's syndrome?
Which of the following is a component of Horner's syndrome?
Which of the following represents a management step for stroke patients?
Which of the following represents a management step for stroke patients?
Which modality is directly involved in the rehabilitation of neurospasticity?
Which modality is directly involved in the rehabilitation of neurospasticity?
In the context of traumatic spinal cord injuries, what characterizes Brown-Sequard syndrome?
In the context of traumatic spinal cord injuries, what characterizes Brown-Sequard syndrome?
Which intervention is most appropriate for treating aphasia?
Which intervention is most appropriate for treating aphasia?
What is a common consideration in the rehabilitation of stroke patients related to their vital signs?
What is a common consideration in the rehabilitation of stroke patients related to their vital signs?
Which complication is associated with neuroleptic drugs?
Which complication is associated with neuroleptic drugs?
What is the primary cause of traumatic brain injury (TBI) in adults?
What is the primary cause of traumatic brain injury (TBI) in adults?
What characterizes a closed head injury?
What characterizes a closed head injury?
Which type of brain injury likely leads to generalized mass effect in the brain?
Which type of brain injury likely leads to generalized mass effect in the brain?
Which site of hemorrhage results in extreme headache and vomiting?
Which site of hemorrhage results in extreme headache and vomiting?
What type of injury is associated with the atlanto-axial dislocation?
What type of injury is associated with the atlanto-axial dislocation?
What can occur as a result of a basal skull fracture?
What can occur as a result of a basal skull fracture?
Which statement about secondary traumatic brain injury (TBI) is true?
Which statement about secondary traumatic brain injury (TBI) is true?
What is the primary role of the Circle of Willis in the brain's vascular system?
What is the primary role of the Circle of Willis in the brain's vascular system?
Which condition is characterized by occlusion due to atherosclerotic plaque?
Which condition is characterized by occlusion due to atherosclerotic plaque?
What are the primary components of the vertebrobasilar territory?
What are the primary components of the vertebrobasilar territory?
What is a potential consequence of bilateral blockage in the carotid artery?
What is a potential consequence of bilateral blockage in the carotid artery?
Which type of stroke involves blood from a weak heart after an acute myocardial infarction?
Which type of stroke involves blood from a weak heart after an acute myocardial infarction?
What is the most common location for an intracerebral hemorrhage?
What is the most common location for an intracerebral hemorrhage?
What type of aneurysm is characterized by a bulging outpouching of a blood vessel?
What type of aneurysm is characterized by a bulging outpouching of a blood vessel?
What are the potential outcomes of an abnormal connection between arteries and veins known as an AVM?
What are the potential outcomes of an abnormal connection between arteries and veins known as an AVM?
Flashcards
Clonus
Clonus
A series of rhythmic, uniphasic muscle contractions and relaxations.
Epilepsia partialis continua
Epilepsia partialis continua
A type of clonus, with rhythmic monophasic muscle contractions that don't spread.
Myoclonus
Myoclonus
Arrhythmic, shock-like muscle contractions, brief and asynchronous.
Polymyoclonus
Polymyoclonus
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Asterixis
Asterixis
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Blepharospasm
Blepharospasm
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Myokymia
Myokymia
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Meige's Syndrome
Meige's Syndrome
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Spasmodic torticollis
Spasmodic torticollis
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Writer's Cramp
Writer's Cramp
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Craniotomy
Craniotomy
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Epidural Hematoma
Epidural Hematoma
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Epidural Hematoma Symptoms
Epidural Hematoma Symptoms
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Epidural Hematoma Prognosis
Epidural Hematoma Prognosis
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Subdural Hematoma
Subdural Hematoma
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Subdural Hematoma Symptoms
Subdural Hematoma Symptoms
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Chronic Subdural Hematoma
Chronic Subdural Hematoma
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Cerebral Concussion
Cerebral Concussion
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Cerebral Concussion Symptoms
Cerebral Concussion Symptoms
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Carotid Territory
Carotid Territory
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Vertebrobasilar Territory
Vertebrobasilar Territory
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Circle of Willis
Circle of Willis
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Collateral Circulation
Collateral Circulation
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Diffuse Global Ischemia
Diffuse Global Ischemia
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Ischemic Stroke
Ischemic Stroke
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Thrombosis
Thrombosis
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Embolism
Embolism
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Lacunar Infarct
Lacunar Infarct
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Hemorrhagic Stroke
Hemorrhagic Stroke
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Intracerebral Hemorrhage
Intracerebral Hemorrhage
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Subarachnoid Hemorrhage
Subarachnoid Hemorrhage
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Aneurysm
Aneurysm
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Cerebral Angiogram
Cerebral Angiogram
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Tourette Syndrome
Tourette Syndrome
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Akathisia
Akathisia
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Tardive Dyskinesia
Tardive Dyskinesia
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Traumatic Brain Injury (TBI)
Traumatic Brain Injury (TBI)
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Demographics of TBI
Demographics of TBI
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Etiology of TBI
Etiology of TBI
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Primary TBI Injury
Primary TBI Injury
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Diffuse Axonal Injury (DAI)
Diffuse Axonal Injury (DAI)
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Primary vs. Secondary TBI
Primary vs. Secondary TBI
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Secondary TBI
Secondary TBI
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Closed Head Injury
Closed Head Injury
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Open Head Injury
Open Head Injury
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Skull Fracture Deficits
Skull Fracture Deficits
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Intracerebral Hemorrhage
Intracerebral Hemorrhage
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Subarachnoid Hemorrhage
Subarachnoid Hemorrhage
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Subdural Hemorrhage
Subdural Hemorrhage
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Epidural Hemorrhage
Epidural Hemorrhage
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Stroke Prevention
Stroke Prevention
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Aspirin for Stroke
Aspirin for Stroke
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Secondary Stroke Prevention
Secondary Stroke Prevention
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Carotid Endarterectomy
Carotid Endarterectomy
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Cranial MRI
Cranial MRI
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Neurospasticity
Neurospasticity
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Botulinum Toxin Injection
Botulinum Toxin Injection
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Constraint-Induced Movement Therapy
Constraint-Induced Movement Therapy
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Body Weight Supported Treadmill Training (BWSTT)
Body Weight Supported Treadmill Training (BWSTT)
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Best Rehab Time
Best Rehab Time
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Aphasia Treatment
Aphasia Treatment
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Percutaneous Endoscopic Gastrostomy
Percutaneous Endoscopic Gastrostomy
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Bowel and Bladder Control
Bowel and Bladder Control
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Deep Vein Thrombosis (DVT)
Deep Vein Thrombosis (DVT)
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Anti-embolic Stockings
Anti-embolic Stockings
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Transverse Myelopathy
Transverse Myelopathy
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Combined Painful Radicular and Transverse Cord Syndrome
Combined Painful Radicular and Transverse Cord Syndrome
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Brown-Sequard Syndrome
Brown-Sequard Syndrome
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Ventral Cord Syndrome
Ventral Cord Syndrome
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Spasticity
Spasticity
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Sensation
Sensation
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Aphasia
Aphasia
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Apraxia
Apraxia
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Neglect Syndrome
Neglect Syndrome
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Dysphagia
Dysphagia
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Inhibited B&B
Inhibited B&B
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MCA Stroke
MCA Stroke
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MCA Syndrome- Mainstem
MCA Syndrome- Mainstem
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MCA Syndrome- Upper Division
MCA Syndrome- Upper Division
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MCA Syndrome- Lower Division
MCA Syndrome- Lower Division
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Optic Nerve Lesion
Optic Nerve Lesion
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Optic Chiasm Lesion
Optic Chiasm Lesion
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Optic Tract Lesion
Optic Tract Lesion
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Contralateral Homonymous Hemianopia
Contralateral Homonymous Hemianopia
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ACA Stroke
ACA Stroke
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PCA Stroke
PCA Stroke
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Wernicke Aphasia
Wernicke Aphasia
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Affective Agnosia
Affective Agnosia
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Golden Period for Stroke Management
Golden Period for Stroke Management
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Cerebral Autoregulation
Cerebral Autoregulation
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Cerebral Perfusion Rate
Cerebral Perfusion Rate
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t-PA
t-PA
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Heparin
Heparin
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Study Notes
Parkinson Syndrome
- Primarily a deficit of akinesia (or hypokinesia)
- Bradykinesia is evident as slow movement and reaction time delays
- Rigidity is manifest as increased muscle tone
- Tremor is typically 3-5 per second, affecting fingers, arms, and chin
- Postural imbalance is commonly associated
- Flexed posture, rounded shoulders, and slightly flexed arms/knees/legs are common
- Disequilibrium and festination (quickening steps) are often observed
Parkinsonism
- A drug-induced symptom
- Dopamine depletion is characteristic
- Drugs competing with dopamine can trigger parkinsonism
- Symetry is a common feature, with tremor less frequently involved
- Symptoms often appear after 3 months of drug intake
- Haloperidol is a common drug associated with the disease
Parkinson's Disease
- Synonymous with Paralysis Agitans
- Neurodegenerative disorder of the extrapyramidal system
- Characterized by resting tremor, rigidity, and bradykinesia
- Typically an adult-onset condition
- Idiopathic in origin
- Treatment typically involves levodopa
- Genetic factors can increase risk by seven times
- Loss of pigmented cells in the substantia nigra is a key pathological finding
- Dopamine loss, in particular, is a key feature
Diagnostic Criteria
- Clinically probable Parkinsonism if one symptom is present: resting tremor, rigidity, or bradykinesia
- Clinically probable if 2 symptoms are present
- Clinically definite if 3 symptoms are present and at least 1 displays symmetry
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