(there are 106 questions in this topic)
Printable list of all neurology and neurosurgery SAQs
Grading of subarachnoid haemorrhage severity - WFNS vs Fisher score
Polyuria in the neurosurgical patient
Anterior spinal artery syndrome
Evidence for nimodipine and other vasospasm-preventing therapies in SAH
Acute management of stroke in the ICU - supportive and definitive.
Hypothermia in the management of traumatic brain injury.
Brain herniation: radiological and clinical features
Causes of, and specific management of status epilepticus
Management of acute high spinal cord injury
Posterior reversible leukoencephalopathy syndrome (PRES), thanks to infliximab
Pneumocephalus: specifically, tension pneumocephalus
Guillain Barre syndrome vs. something (this time, myasthenia gravis)
"Neuroprotective measures" - prevention of secondary brain injury
Management of raised ICP: sudden re-bleed following an MCA aneurysm clipping
Cerebral venous sinus thrombosis
Spinal cord injury syndromes
Examination of the pupils: three causes of coma where there is miosis
Decompressive craniectomy for malignant MCA infarction; also generic management of stroke.
Management of Status Epilepticus in ICU in the context of a subarachnoid haemorrhage.
The dermatomes - "Name This Dermatome"
Cranial nerve lesions: CN IX, CN XII, CN VII, CN VI.
Examination of the cranial nerves: CN VI
Causes of haemorrhagic stroke and factors which influence its prognosis
Intracranial pressure as a therapeutic target: advantages and disadvantages of ICP monitoring
Monitoring for vasospasm following SAH: advantages and disadvantages of diagnostic options
"Does this CSF look infected to you?" ... an non-infected EVD
Horner's Syndrome, and other features of a lateral medullary syndrome
Clearance of the C-spine in the unconscious patient; complications of the hard collar.
Monitoring for vasospasm following SAH, as well as its prevention and management
Guillain Barre syndrome vs. something (this time, critical illness polyneuromyopathy)
Features that distinguish myopathy from neuropathy
Clinical features which distinguish brachial plexus lesions from ulnar nerve lesions.
Prevention of secondary brain injury: "Neuroprotective Measures"
Definitive management options for early ischaemic stroke: indications and contra-indications.
Fundoscopy: characteristic findings and their correlations with pathology.
Non-convulsive status epilepticus: definition, diagnosis, risk factors, management.
The Glasgow Coma Scale in the assessment of consciousness: its utility and its limitations.
Approach to the ICU patient with generalised weakness
Clearance of the C-spine in the unconscious patient
Acute supportive management for stroke in the ICU
Polyuria following traumatic brain injury. What has caused it?
Physical signs of cerebellar disease: only head signs, please.
Examination of the cranial nerves: localisation of a midbrain lesion by CN III palsy.
Management of raised intracranial pressure. Also, risk factors for post-traumatic seizures.
The utility of the EEG in the ICU
Horner's Syndrome; specifically, the anatomical sites where the lesion may have occurred.
Oculocephalic reflex (CN III, IV, VI and VIII) - what does a normal one tell you?
Prognosis in severe brain injury. What determines it?
Methods of intracranial pressure monitoring: 4 clinical signs of raised ICP.
Spinal cord injury syndromes: list 2 causes, and the clinical findings
Methods of intracranial pressure monitoring: compare the EVD and the Codman catheter.
Physiological consequences of spinal cord transection
Approach to the unconscious patient in the ICU
A critique of cerebral perfusion pressure as a therapeutic target.
Physical signs of cerebellar disease: ones which do not involve the limbs
Methods of intracranial pressure monitoring: indications for CT head before lumbar puncture.
Decompressive craniectomy: indications, complications, influence on outcome.
Indications for intracranial pressure monitoring
Examination of eye movements: Causes of a persistent right-sided conjugate gaze deviation.
Causes of neck stiffness
Visual fields and lesions of the visual pathways (CN II)
"Does this CSF look infected to you?" .. an infected EVD
"Does this CSF look infected to you?" .. an epidural abscess
Assessment of swallowing function in a critically ill patient
Monitoring for vasospasm following SAH: advantages and disadvantages of various techniques.
Methods of intracranial pressure monitoring and indications for intracranial pressure monitoring
Polyuria following brain injury. A variation on the theme of hypernatremia
Prognosis in moderate brain injury: ICU vs HDU admission
A comparison of states of persistent unconsciousness
Osmotherapy for management of raised intracranial pressure: hypertonic saline.
Examination of the cranial nerves: pupil reactivity and diameter (in coma)
Prevention and management of vasospasm following SAH
Factors which influence prognosis in severe brain injury
Approach to the unconscious patient in the ICU: causes of delayed awakening.
Cerebral perfusion pressure as a therapeutic target
Acute supportive management for stroke in the ICU (specifically, a brainstem stroke).
Eponymous spinal fractures: Jefferson's, Hangman's and Clay Shoveller's.
Approach to the ICU patient with generalised weakness: GBS, myasthenia gravis and MND.
Limitations of CT in assessment of traumatic brain injury
Management of Status Epilepticus in ICU
The utility of the EEG and of Somatosensory Evoked Potentials (SSEPs) in the ICU.
Intracranial pressure as a therapeutic target
Management of the unsecured aneurysm in subarachnoid haemorrhage: coiling vs. clipping.
Approach to the unconscious patient in the ICU: SAH after clipping.
Management of raised intracranial pressure
Physiological consequences of spinal cord transection:
Causes of Horner's Syndrome
Osmotherapy for management of raised ICP: hypertonic saline versus mannitol.
Assessment of swallowing function in a critically ill patient: the effects of a tracheostomy.
The significance of persistent "hiccoughs" in a ventilated ICU patient.
Acute management of spinal cord injury, with a digression regarding the role of steroids
Physiological consequences of spinal cord transection: diaphragmatic breathing