Young adults Neurology

arrythmia: intermittent Afib. Flutter.

Cardiomyopathy, Congenital, Endocarditisbubble studies for the shunts.

Fat, amniotic or air emboliccoagulopathy w/o in pregnancy  is invalidCT contrast is contradicted.

MRA of the abdomen for r/o systemic vasculitis

non vascular distribution ischemia +/- bleeding.hypercoagulablity w/p.

CADASIL: WM lesion are lacunes that can mimic MS on MRI; lesions affects tips of anterior temporals symmetrically. characteristiclly h/o maigraine like headache and h/o early family CVA.the characteristic lacunes are sub cortical which differentiate it from the deep lacunes from HTN.presentations: migraine, early CVA; early dementia of fronto- temporal type.etiology: NOTCH3 gene on chromosme 19dx: genetic, less effectively is skin biopsy.tx: Acetazolamide for the headacheretinal-vasculopathy with cerebral leukodystrophyis asimilar diseasel to CADASIL were the retina is affedted as well but the genetic test is neg.

Alexander, Adrenoleuko dystrophy

Hypertension encephalopathy (esp renal realted)PreclampsiaDrugs related (cyclosporine)

CBC, Blood smear, Hg electrophyresis

CBC, TTP, INR, haptoglubin, FDP, LDH, Coomb;s testprot C, S; factor 5, antirhombophylin, anti phospholipid

sx: TTP, DIC

Prot C, S deficiency

for Wilson, Mencke's.

B12, Folic, Thiamin, Ein babies with sz: vit 6

Thyroid panel, PTH, Cortisone

ESR, CRP, SPEP, UPEP, ANA, RF, anti DNAs,

Anti Mag, Anti QM1, Anrti QD a/b;

Routine: prot, gluc, cells, lactate, c/sIgG index, IgG synthesis, oligoclonal, MBP, prot 14-3-3;VDRL, PCR (HSV1-2, HZV, Entero, TB), cryptococcus, measles.CSF IgG needs serum IgG and Albumin.

CK, lactate, Pytophate

cocaine, Heroinheavy metals, CO (carboxy Hg)

AA, urine organic acids, Lysosomes,

Absence/CPT status.

SSPE, CJD

the p100 wave delay helpful for quantify the response to tx and progress.For non cooperatives and children: the falsh light is the only possible and it's only positive or neg.