💥 muscle disorder
Myasthenia gravis
Clincally ..
Female 30 ..40 years
Excessive fatigue, diplopia
No sensory affaction
Deep reflex is normal



➡️ Investigation..
Electromyography..decrimital Rospnse
..Anti AChR ANTIBODIES
..MRI of mediastinum..thymuy
.. pharmacological test ..
IM prostagmine ..
Iv tensilon test

TTT ? Surgical.. thymectomy
Medical....
Plasma exchange
,IVIG .
Corticosteroids. Prednisolone
Pyridostigmine 60 mg
Prostagmine 15 mg
Tensilon ( Edrophonium) in crisis

Headache..

💥 Red flags?
SNOOP
S. Systematic secondary symptom
N. Neurogical deficit
O. Onst ..sudden , thunderclap
O. Onst in old age
P. Progressive, pregnant
Postional
Papilledema
Presiptate by valsva . exertion

Examination..
Brain imaging most important
.MRI + contrast= TACs
CT without contrast = sudden headache

Chronic headache= MRI + contrast
Stable headache Don't require image

💥💥 Migraine
➡️most common cause of moderte to sever headache

Diagnose= POUND
Pulstile , One day , Unilatera
Nausea. Disabling

💥 International Headache Society Criteria ..
➡️ Headache without aura
5 4 3 2 1
.🛑at least 5 attacks
🛑.lasting 4 hours _ 3 days
.🛑2 symptoms of
Unilateral
Pulstile
Position
Decrease activity
🛑 1 of association
( Nausea.vomit.photophobia
Phonophobia) .
🛑 Not better accounted by another

➡️ With Aura
🛑 2 attacks
🛑 One or more aura symptoms
Visual.sensory .motor . Brainstem.retinal
🛑 At least 3 of 6
1 at least one aura poitive
2 one aura unilateral
3 one aura > 5 min
4 two aura succive
Each one of two 5 - 60 minite
6 after 60 minite there is
Headache
🛑 Exclusion of TIA

➡️ Chronic headache > 15 days / month

💥 Mangment?
Ttt shouldn't be more than 10 days per month

➡️ Mild to moderate headache
= Actemonephen
Aspirin . ibuprofen.

➡️sever cases ?
Sertonine agonist
Dihydroergtamine
Tryptan

💥 Prevention of headache

🛑🛑 Tension Headache
Episode < 15 day
Chronic> 15 day
🛑 Chriteria..
🦋 At least 10 episodes
Each episode 30min ..7 days
🦋 Two of . Biltral
.mild to moderate
.not afffect by position
. Pressing
🦋 No nausea .vomit
No phonophobia
No photophobia
💥 Ttt? Analgesic
Behaviour psychology.
Amitriptyline

🛑🛑 Cluster Headache
Unilateral preorbital tempral
With autonomic lacrimation.ptosis....

➡️Ttt?
During attck
Triptan, dihydroergtamine,O2
➡️ Prevention..?
Long; verapmil . lithium.Divolprx
Short . Steroids.occiptal N block.

🛑🛑 Pseudo tumor cerberi

Hemiplegia
مقارنه cortical ..capsuler.

💥 Brown sequard syndrome
At one side of cord between C1..C5
..due to disc prolpse ..MS ..Tumor
At level .. ipsilateral LMNL
Ipsilateral all sensary loss
Below level ..
Ipsilateral hemiplegia
Ipsilateral deep sensory loss
Contralateral superficial sensory loss
Touch deminished on both sides

دا كتاب د. هاشم هتلاقيه متنسق أفضل من كتاب ربيع الطب ومجمع كل حاجه نيورو وسيكاتري ممكن تطبعه وتمشي منه افضل 🩵
مواضيع dementia , headache , come شوفهم من المحاضرات.

ودا لينك الجروب لو حابب تتابع معاه هو منسق الدنيا وبيشرح نيورو👇🏻
https://t.me/+LjlNz_Psq7s4YmJk
ودعواتكم ليه ع مجهوده🩵🩵

👇🏻فيدوهات د. لميا أطفال الجديدة👇🏻

Hydrocephalus 👆👆

Abnormal head shape 👆👆

Cerebral Palsy 👆👆