NEUROLOGIC LOCALIZATION + ACUTE DISEASE
YEAR 2 | PAGE 26E - STROKE, SEIZURE, HEADACHE + LOCALIZATION
LOCALIZE BEFORE DIAGNOSING DEFICIT -> NEUROANATOMIC LEVEL -> SIDE -> VASCULAR / ELECTRICAL / STRUCTURAL MECHANISM -> TEST -> THERAPY. Before naming a
disease, decide cortex vs subcortex vs brainstem vs spinal cord vs peripheral nerve/NMJ/muscle; then use time course and focality to narrow the mechanism.
1
| Stroke Syndromes: MCA, ACA, ICA, PCA + Vertebrobasilar - Ninja Nerd | ~1 hr 17 |
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| Maps vascular territories to motor, sensory, language, visual, brainstem and cerebellar deficits; excellent for lesion localization before memorizing stroke labels. |
2
| Acute Ischemic Stroke - Ninja Nerd | ~1 hr 15 |
|---|---|
| Ischemic core/penumbra, thrombotic vs embolic mechanisms, imaging sequence, reperfusion logic, complications and secondary prevention. |
3
| Seizures + Status Epilepticus - Ninja Nerd | ~1 hr 41 |
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| Focal vs generalized seizure classification, clinical semiology, EEG/diagnostic reasoning, treatment and status epilepticus priorities. |
4
| Migraine Medications + Mechanism - Ninja Nerd | ~41 min |
|---|---|
| Trigemino-vascular pathophysiology, acute vs preventive therapy, triptans/CGRP agents and contraindication logic for headache questions. |
CLOSED-BOOK NEURO CHECK
- Given a focal deficit, name the anatomic level and side before the diagnosis; then predict the vascular territory or tract involved.
- For seizure questions, classify focal vs generalized, awareness, motor/nonmotor pattern, provoking cause and status risk before choosing a drug.
- For headache, screen for red flags first: sudden thunderclap, fever/meningismus, focal deficit, papilledema, pregnancy/hypercoagulability, cancer/immunosuppression or new late-onset pattern.
- Distinguish UMN, LMN, NMJ and muscle patterns using tone, reflexes, sensory findings, fatigability and distribution.