Neurology/Neurosurgery ====================== Greg Henry Exam: "Close your eyes. Put your right thumb on your left ear. Stick out your tongue." If they can do this, they are safe to go home. Pronator drift. Frontal lobe: can't close eyes and keep hands up. Motor impersistence. Hallmark of frontal lobe disease. Levitation of arms when doing Romberg/pronator drift: parietal lobe problem. Assess for bulk. Agitated States Akathisia Amnesia Ascending paralysis Bell's Palsy Brachial Plexus Injury Brain Cooling -- Cardiac Arrest Brain Death Criteria Burr Holes in the ED Carotid Dissection Carotid-Cavernous Fistula Cervical Plexus Injury Cholinesterase Deficiency CNS Injury Cognitive/Motor Deficit Syndromes Cooling Brains after Cardiac Arrest Coma CVA/TIA Delirium, Excited Dermatomes, Sensory Dizzyness Dystonic Reactions Epidural Abscess Ethanol-Induced Diseases Excited Delirium Extrapyramidal Syndromes Glasgow Coma Scale Guillian-Barre Syndrome Headache Head Trauma Horner's Syndrome Intracranial Presure LP L'hermitte's Sign Migraine Headaches Motor Innervation, Spinal C5: very sensitive, tends to develop paresthesias or weakness with the slightest touch during neurosurgery. Innervation: deltoid, abduct shoulder C6: not so sensitive. Innvervation: pronator teres, shake patient's hand, have patient twist your hand (pronation) C7: not so sensitive. Wrist extension, have patient hold up wrist and pull. C8: not so sensitive. Have the patient abduct the little finger against resistance. Movement Disorders Multiple Sclerosis Muscle Disorders Myasthenia Neuro Exams Neurological Syndromes Neuropathy/Nerve Injury Optic Neuritis Parkinsonism Post-Concussion Syndrome Post-Herpetic Neuralgia Pseudocholinesterase Deficiency Ramsay Hxunt syndrome Reflex Syxmpathetic Dystrophy Reversal of hot and cold Rheumatic Fever Sciatica Seizures Serotonin Syndrome Spinal Headache Spinal Sensory Dermatomes Spinal Motor Innervation Spinal Syndromes Stroke Syncope Subarachnoid Hemorrhage (SAH) Temporal (Giant Cell) Arteritis Unusual Eye/Neurological Signs Vertigo VP Shunts Wallenberg's Syndrome - Lateral Medullary Syndrome - Horner's Syndrome, Ataxia, Skew Deviation of Eyes (vertical diplopia)) Wernicke's Encephalopathy and Korsakoff's Psychosis West Nile Virus Neuro Sx