Zusammenfassung der Ressource
CNS: Diseases/Disorders
- MENINGITIS
Anmerkungen:
- Inflammation of the Meninges due to infection
Symptoms: Headache, Fever, Stiff Neck
Anlagen:
- Bacterial
Anmerkungen:
- -Very Severe
-Contagious
-Antibiotics
- Viral
Anmerkungen:
- -Less Severe
- No specific treatment
- Parasitic
Anmerkungen:
- -Not contagious
- infected from fresh water source
-Fatal brain infection
- Fungal
Anmerkungen:
- -Not contagious
-Immune Compromised patients
- Treat with IV- anti-fungal agents
- HEADACHE
Anmerkungen:
- - 90% are benign
-pain in any region of head
-Laterality
-Area (isolated/ radiating)
- Quality of Pain
- Onset (gradual/sudden)
-Timing
Anlagen:
- Migraine
Anmerkungen:
- -unilateral
-throbbing
-gradual--> great intensity
-gets worse with bright light/noise and physical exertion/movement
-nausea, vomiting/dizziness
- Treatment:
-no specific cure/treatment
-treat symptoms right away
-OTC/prescription pain relievers
-avoid triggers
- Tension Type
Anmerkungen:
- -moderate headache
-tightening across head - muscles of head and neck too
-non-pulsatile
- no other associated findings
-30 min. to one week
- Treatment:
- OTC/narcotic pain relievers
-muscle relaxants
Prevention:-avoid triggers-SSRI/ trycyclic antidepressants
- Cluster
Anmerkungen:
- -unilateral
-located around one eye
-sudden onset of pain- really painful!
-30 min---> 3 hours (3x/day)
- Treatment:
-Triptans
-Steriods
Prevention:
-Beta-blockers
-Antiseizure meds
-Lithium
-Antidepressants
- CEREBROVASCULAR DISEASE
Anmerkungen:
- -all disorders where brain is affected by ischemia or bleeding of cerebral blood vessels
-most common neurological event in U.S.
Anlagen:
- Stroke
Anmerkungen:
- -abrupt interruption of constant blood flow to the brain
-loss of neurological function
- Symptoms:
1. numbness or weakness of face, arm, or leg (one side of body)
2. trouble walking, dizziness, loss of balance
3. severe headache
4. trouble seeing through one/both eyes
5. confusion, trouble speaking/understanding
- Risk Factors:
1. Diabetes
2. Heart Disease
3. Obesity
4. Smoking
5. Hypertension
- Treatment:
-TPA-tissue plasminogen activator- within 4.5 hours
-meds to treat underlying conditions (HTN, DM, high cholesterol)
- surgery- hemorrhagic
Secondary Preventative Measures
-angioplasty/ carotid endarterectomy
-surgical clipping/coiling
Rehabilitation
- Ischemic
Anmerkungen:
- Hemorrhagic
Anmerkungen:
- Transient
Ischemic Attack
(TIA)
- Stenosis
- Aneurysms