5- Neuro > Parkinsonismos > Flashcards

Parkinsonismos Flashcards

(21 cards)

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1
Q

¿Qué son parkinsonismos?

A

Grupo de enf hipocinéticas

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2
Q

Criterios para determinar parkinsonismo

A

Al menos 2/4:
- Bradicinesia
- Temblor en reposo
- Rigidez
- Inestabilidad postural

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3
Q

% de parkinsonimos que es Parkinson

A

70-80%

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4
Q

Parkinsonismos

A

Parkinson
Parálisis supranuc progresiva (PSP)
Atrofia de mult sist (AMS)
Sx corticobasal
Vascular
Hidrocefalia normotensa

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5
Q

Características de PSP

A

Oftalmoplejía vertical
Rigidez acinética simétrica / axial
Sx pseudobulb
- Disartria
- Disfagia
Demencia frontal

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6
Q

Patogenia de PSP

A

Depositos de Tau

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7
Q

Características en RM de PSP

A

Atrofía mesencefálica (pinguino/colibrí en sagital)

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8
Q

Tx de PSP

A

NO HAY

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9
Q

Sobrevida de pSP

A

5-9 a.

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10
Q

Características de AMS

A

Rigidez acinética
Disfunción autonómica
Sx piramidal
T. cerebeloso

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11
Q

Tipos de AMS

A

P 70%
C 20-30%
M 10%

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12
Q

Patogenia de AMS

A

Inclusiones gliales de alfa-sinucleína

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13
Q

Tx de AMS

A

NO HAY
Responden MAL a levodopa

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14
Q

Características en RM de AMS

A

Atrocia troncal / cerebelosa

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15
Q

Sobrevida de AMS

A

5-7 a.

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16
Q

Características de sx corticobasal

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A

Asimétrico
Apraxia
Deterioro cog
Sx de extremidad ajena (NO control)
- Levitación
Distonía
Mioclonias
Sx piramidal

17
Q

Triada de hidrocefalia normotensa

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A

Apraxia frontal de la marcha
Incontinencia
Deterioro cog

18
Q

Apraxia frontal de la marcha

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A

Magnética
Corta
Pegada apiso
Aumento de base

19
Q

¿Qué es hidrocefalia normptensa?

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A

Aumento de talla vet con presión de apertura normal de LCR

20
Q

Patogenia de hidrocefalia normotensa

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A

Alt en reabsorción de LCR
Hemorragia subarac / intervent
Antecedente de meningitis crónica

21
Q

Confirmación de hidrocefalia normptensa

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A

Extraer 20-50 ml LCR
Se mide marcha, habla, memoria, etc…

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