Neurology

~7% of blueprint

Stroke, seizures, headache, neurodegenerative disease.

Disease Profiles

Anatomy

Region
Arterial ring at the base of the brain.
Key Structures
ACA, MCA, PCA linked by the anterior & posterior communicating arteries; fed by the internal carotids & basilar artery.
Clinical Correlation
MCA stroke โ†’ contralateral face/arm weakness + aphasia (dominant); ACA โ†’ leg > arm; PComm aneurysm โ†’ CN III palsy.
High-Yield Pearl

MCA is the most common stroke territory โ€” face & arm are affected more than the leg.

Region
White matter of the spinal cord.
Key Structures
Dorsal columns (fine touch/proprioception), spinothalamic tract (pain/temperature), lateral corticospinal tract (motor).
Clinical Correlation
Cord hemisection (Brown-Sรฉquard) โ†’ ipsilateral motor & proprioception loss with contralateral pain/temperature loss.
High-Yield Pearl

Spinothalamic fibers cross within one or two segments of entry, in the anterior white commissure; dorsal columns & corticospinal tracts cross in the medulla.

Region
Ventricular system of the brain.
Key Structures
Lateral ventricles โ†’ foramen of Monro โ†’ 3rd ventricle โ†’ cerebral aqueduct โ†’ 4th ventricle โ†’ Luschka/Magendie โ†’ subarachnoid space โ†’ arachnoid granulations.
Clinical Correlation
Flow obstruction โ†’ noncommunicating hydrocephalus; impaired reabsorption โ†’ communicating hydrocephalus.
High-Yield Pearl

Normal pressure hydrocephalus triad โ€” wet, wobbly, wacky (incontinence, gait apraxia, dementia).

First-line drugs

All pharmacology

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