Neurology

Trigeminal Neuralgia

Etiology Idiopathic Seizure of the trigeminal nerve Presentation Severe overwhelming face pain Knife stuck into face Triggered by Chewing Touching face Pronouncing some words → Tongue strikes back of front teeth Diagnosis No specific test Treatment Best initial Carbamazepine Oxcarbazepine Other meds Baclofen Lamotrigin If meds fail Gamma knife...

Headache

Ischemic Stroke

Etiology 3rd most common cause of death in the US Ischemic → 85% Hemorrhagic → 15% 🔗 Emboli origin Heart Atrial fibrillation 🔗 Valvular heart disease 🔗 DVT through patent foramen ovale (ASD) Carotid stenosis Risk Factors Hypertension Diabetes Hyperlipidemia Smoking Presentation MCA Contralateral motor/sensory deficit Contralateral homonymous hemianopia Eyes look towards...