Neurology Review: Dopamine Side Effects, Headaches and Mass Effect | Part 2 | 神經 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字;遇到過度簡化或舊門檻,請搭配下方提示與原始資料閱讀。這是概念學習材料,不替代個別醫療評估。

Lyrics · 完整歌詞

All impulse control disorders
and hallucinations in Parkinson's disease point to the D3 agonist,
whereas dyskinesia points to pulsatile levodopa.
Is the headache thunderclap, new after fifty, positional or with deficits?
Then it is secondary until proven otherwise,
and suspected giant cell arteritis receives corticosteroids before biopsy.
On the pituitary stalk, compression raises prolactin mildly by removing dopaminergic inhibition,
whereas a prolactinoma raises it markedly and is treated first with cabergoline.
Lung,
breast
and melanoma metastases at the grey-white junction are the commonest intracranial tumours overall,
while meningioma with its dural tail is the commonest primary.

All impulse control disorders
and hallucinations in Parkinson's disease point to the D3 agonist,
whereas dyskinesia points to pulsatile levodopa.
Is the headache thunderclap, new after fifty, positional or with deficits?
Then it is secondary until proven otherwise,
and suspected giant cell arteritis receives corticosteroids before biopsy.
On the pituitary stalk, compression raises prolactin mildly by removing dopaminergic inhibition,
whereas a prolactinoma raises it markedly and is treated first with cabergoline.
Lung,
breast
and melanoma metastases at the grey-white junction are the commonest intracranial tumours overall,
while meningioma with its dural tail is the commonest primary.

Medical Notes · 醫學學習提示

  1. 衝動控制障礙可能與各種多巴胺治療有關
  2. 致效劑風險較高;幻覺也須評估疾病與其他原因
  3. 異動症常與左旋多巴治療及疾病進程相關
  4. 雷擊樣、五十歲後新發、姿勢性或神經缺損是警訊
  5. 應積極排除次發原因;警訊本身不能確診
  6. 高度懷疑巨細胞動脈炎時,不等切片才開始類固醇
  7. 垂體柄受壓可解除多巴胺抑制;圖為放大解剖概念
  8. 泌乳素瘤常用卡麥角林;不能只靠激素高低確診
  9. 肺癌是腦轉移的重要來源之一
  10. 乳癌也是腦轉移的重要來源
  11. 黑色素瘤可轉移至腦;灰白質交界是常見位置
  12. 腦膜瘤為常見原發腫瘤;硬腦膜尾徵並非專一

References