Headache
Most common cause of thunderclap headache
Subarachnoid hemorrhage
Recommended for all patients with a first seizure
MRI and electroencephalography
Most common cardioembolic cause of stroke
Atrial fibrillation
A useful tool with good sensitivity for diagnosing delirium; management should emphasize identification and treatment of the underlying causes
Confusion Assessment Method
In ancient Rome there was a belief that fainting spells were a sign of
being in love
Type of headache treated with oxygen inhalation and subcutaneous sumatriptan
Cluster headache
At least two unprovoked seizures more than 24 hours apart or one unprovoked seizure with a risk of further seizures that is similar to the risk after two unprovoked seizures (Definition)
Epilepsy
The main risk factor for lacunar infarcts
Hypertension
(Lacunar (or small subcortical) infarcts resulting in isolated motor or sensory syndromes are caused by occlusion of the small penetrating arteries arising from intracranial arteries )
Patients with ischemic stroke may develop worsening deficits from hemorrhagic conversion of the infarct, usually within (#)
Within 48 hours
Antiplatelet agents should be held in the setting of hemorrhagic conversion involving a hematoma for at least 1 week(shorter period of time if no hematoma on imaging/ repeat imaging is stable)
Why did the neuron go to therapy?
Because it had trouble making connections
Assessment of acute, severe headaches (i) and assessment for subacute or chronic headaches (ii)
(i) Head CT (ii) Brain MRI
Most common adult-onset focal epilepsy (aura, loss of awareness, staring, behavior arrest, and amnesia)
Temporal lobe epilepsy
Transient ischemic attack with (%) extracranial stenosis in a downstream neurologic territory has the highest risk of stroke within 2 weeks
Greater than 70% extracranial stenosis of the internal carotid artery
Treatment of blood pressure is recommended for patients with intracerebral hemorrhage whose systolic blood pressure is greater than
150 mm Hg
*intravenous nitrates should be avoided
Etymology of the term Migraine
Greek word "hemikrania," which means "half of the skull"
Suggested by the presence of headache, visual symptoms, and pulsatile tinnitus
Idiopathic intracranial hypertension
Screening and supplements recommended for patient on Enzyme-inducing antiepileptic drug and valproic acid
Bone density testing and supplemental calcium and vitamin D (increase bone catabolism)
*Also increase statin clearance - higher doses or alternative
Increases the risk of perioperative stroke, and elective surgeries within this time should be avoided
Stroke within 30 days of surgery, regardless of cause
Stupor or coma with ipsilateral oculomotor nerve palsy and contralateral hemiparesis in a patient with an epidural hematoma are signs of
Transtentorial herniation.
A neurological disorder where a person experiences distortions in their perception of their own body and the world around them, causing objects to appear larger or smaller than they actually are.
Alice in Wonderland syndrome
Acute-onset headache, proptosis, periorbital edema, and ophthalmoplegia
Cavernous sinus thrombosis
Useful to differentiate syncope from seizures and nonepileptic events
Video electroencephalography with tilt table testing
Endovascular therapy within 24 hours of stroke onset can be considered
Patients with a clinically suspected large-vessel occlusion and specific examination and radiologic findings
(such as a measurable neurologic deficit and small but radiographically evident ischemic changes)
In aneurysmal subarachnoid hemorrhage, cerebral vasospasm with resultant cerebral ischemia and neurologic worsening may develop near day (*#), and all patients should be treated with (*Drug) to prevent poor neurologic outcomes
Near day 5
Nimodipine
How many songs by Linkin Park have neurologic complaints in the title?
2** (+/- psychosomatic)