MS treatment for fatigue
Amantadine
MS treatment for bladder dysfunction
Significant volume of urine left in bladder - intermittent self catheterisation
No significant volume left in bladder - anticholinergics
MS treatment for spasticity
Gabapentin/baclofen
MS treatment for oscillopsia
Gabapentin
Cluster headache acute treatment
Oxygen (+/- subcutaneous triptan)
Migraine acute treatment
Oral triptan and NSAID/paracetamol combination
Problems with propanolol in women
Interferes with pill and risk of cleft palate/lip
Treatment for menstrual headache
Mefanamic acid + caffeine + paracetamol
Treatment for migraine during pregnancy
Paracetamol 1g first line
then aspirin or ibuprofen
What makes essential tremor better
Alcohol and propanolol
Normal CSF glucose
50-80mg/dl
Normal CSF protein
15-40mg/dl
Normal CSF white cell count
0-3 cells/mm^3
Signs of multiple system atrophy and how to distinguish it from parkinsons?
- Parkinsonism
- Autonomic dysfunction (e.g. impotence, atonic bladder, postural hypotension)
- CEREBELLAR SIGNS
Will have POOR response to levodopa
Signs of progressive supranuclear palsy
Starts with patients having impaired balance and therefore being prone to many falls
They will also have a vertical gaze palsy
Onset is symmetrical
POOR RESPONSE TO LEVODOPA
Treatment for focal/partial seziures
Carbamazepine
Lambert eaton is strongly associated with what
Small cell lung cancer
Why do you need to be careful in dermatomyositis?
Up to 50% have underlying malignancy
