Lyrics · 完整歌詞
In children, spastic diplegic cerebral palsy follows periventricular leukomalacia of prematurity,
whereas the athetoid form follows kernicterus and carries hearing loss.
A simple febrile seizure between six months
and five years lasts under fifteen minutes,
is generalised and does not recur within a day; it needs reassurance,
not antiepileptic drugs.
Infantile spasms with hypsarrhythmia between four and eight months are West syndrome,
which needs ACTH or vigabatrin without delay.
All myasthenic weakness fatigues with use because postsynaptic receptors are scarce,
whereas Lambert-Eaton weakness improves with use as presynaptic calcium accumulates.
Is the demyelination peripheral or central?
Guillain-Barré needs immunoglobulin or plasma exchange, never steroids alone,
whereas a multiple sclerosis relapse takes intravenous methylprednisolone.
On cerebrospinal fluid, neutrophils with low glucose mean bacteria,
lymphocytes with normal glucose mean a virus,
and suspected herpes encephalitis receives aciclovir before the PCR returns.
Lumbar puncture in Guillain-Barré shows raised protein with normal cells,
and a simple febrile seizure under five needs reassurance rather than long-term antiepileptic drugs.
All myasthenic weakness fatigues with use because postsynaptic receptors are scarce,
whereas Lambert-Eaton weakness improves with use as presynaptic calcium accumulates.
Is the demyelination peripheral or central?
Guillain-Barré needs immunoglobulin or plasma exchange, never steroids alone,
whereas a multiple sclerosis relapse takes intravenous methylprednisolone.
On cerebrospinal fluid, neutrophils with low glucose mean bacteria,
lymphocytes with normal glucose mean a virus,
and suspected herpes encephalitis receives aciclovir before the PCR returns.
Lumbar puncture in Guillain-Barré shows raised protein with normal cells,
and a simple febrile seizure under five needs reassurance rather than long-term antiepileptic drugs.