Shared Flashcard Set

Details

Neurosensory Unit IV
p. 969-981 Neuro Disorders
211
Nursing
Not Applicable
01/22/2014

Additional Nursing Flashcards

 


 

Cards

Term
degenerative disease of the CNS primarily affecting the white matter; damages the myelin sheath and eventually scars neuronal axons
Definition
multiple sclerosis
Term
t/f: multiple sclersis most common in women 20-50 years old
Definition
true
Term
t/f: multiple sclerosis occurs most commonly in temperate climates
Definition
true
Term
risk factors that may trigger the onset of multiple sclerosis
Definition
genetics and environment (viruses, trauma, and exposure to heavy metals)
Term
4 disease types of multiple sclerosis
Definition
relapsing-remitting, primary progressive, secondary progressive, and progressive relapsing
Term
relapsing/remitting disease
Definition
65% of cases relapse, develop over 1-2 weeks, resolve over 4-8 weeks, and return to baseline
Term
relapsing/progressive disease
Definition
15% of cases are similar to the relapsing/remitting form but with less recovery (the baseline is NOT returned to), and the individual is left with significant residual disability
Term
Chronic progressive disease
Definition
20% of cases are characterized by spinal cord and cerebellar dysfunction; symptoms of the spinal cord and cerebellum are the initial manifestations
Term
stable MS
Definition
used for individuals who have had no active clinical disease or any subjective deterioration in their condition during the last year
Term
t/f: MS etiology is unknown, but AIDs is suspected
Definition
true
Term
demyelinating disease in which axonal myelin in the CNS is eroded, destroyed and replaced by scar tissue. it is caused by genetic and environmental factors which causes inflammation of venules in the CNS which disrupts the blood-brain barrier, allowing lymphocytes to enter the CNS tissue, the lymphocytes proliferate nd produce and antibody that attacks and damages myelin and causes the release of the inflammatory chemicals and edema.
Definition
(Acute Attack) Multiple Sclerosis
Term
IgG
Definition
antibody produced by lymphocytes that cross the blood-brain barrier in MS that attacks and damages myelin and causes the release of inflammatory chemicals and edema
Term
t/f: as inflammation subsides, the myelin regenerates and manifestations of the disease (MS) subside
Definition
true
Term
patches destroyed along the axon of myelin sheath
Definition
plaques
Term
t/f: demyelination slows conduction of nerve impulses and sometimes results in total absence of transmission
Definition
true
Term
t/f: demyelination requires more energy to conduct an impulses (200x more)
Definition
true
Term
neurons affected by MS
Definition
Brain and Spinal cord (scarring)
Term
t/f: fatigue is a common symptom of MS
Definition
true
Term
after repeated inflammatory attacks, myelin is irreparably damaged; segments of axons become totally demyelinated and may degenerate.
Definition
Chronic Lesion MS
Term
when astrocytes proliferate in damaged regions of CNS and form plaques that are scattered, appearing as gray or pinkish lesions
Definition
gliosis
Term
t/f: in an undamaged neuron, impulses travel down the axon by "leaping" from one node of Ranvier to the next, thus greatly increasing the speed of impulse transmission
Definition
true
Term
what happens when a nerve impulse travels down an axon damaged by MS?
Definition
the impulses are significantly slowed and weakened as they cross the surface of demyelinated areas; they may be blocked entirely when axons degenerate.
Term
t/f: the weakening or interruption of the transmission of nerve impulses and plaque formation within the CNS cause the manifestations of MS, including extremity weakness, paresthesias, visual disturbances, bladder dysfunction, and vertigo
Definition
true
Term
4 categories of S&S of MS
Definition
sensory, motor, cerebellar, and misc.
Term
numbness, burning, prickling, tingling, pain
Definition
paresthesia
Term
decreased sense of temperature, depth, and vibration
Definition
proprioception
Term
Uncoordinated movement is due to a muscle control problem that causes an inability to coordinate movements. It leads to a jerky, unsteady, to-and-fro motion of the middle of the body (trunk) and an unsteady gait (walking style). It can also affect the limbs.
Definition
ataxia
Term
Nystagmus is a term to describe fast, uncontrollable movements of the eyes that may be: Side to side (horizontal nystagmus); Up and down (vertical nystagmus); Rotary (rotary or torsional nystagmus). Depending on the cause, these movements may be in both eyes or in just one eye
Definition
nystagmus
Term
dizzyness
Definition
vertigo
Term
the worsening of neurologic symptoms in multiple sclerosis (MS) and other neurological, demyelinating conditions when the body gets overheated from hot weather, exercise, fever, or saunas and hot tubs. It is possibly due to the effect of increased temperature on nerve conduction. With an increased body temperature, nerve impulses are either blocked or slowed down in a damaged nerve but once the body temperature is normalized, signs and symptoms may disappear or improve.
Definition
Uhthoff's Sign
Term
the barber chair phenomenon, is an electrical sensation that runs down the back and into the limbs. In many patients, it is elicited by bending the head forward. It can also be evoked when a practitioner pounds on the posterior cervical spine while the neck is flexed; this is caused by involvement of the posterior columns
Definition
Lhermitte's Sign
Term
double vision
Definition
diplopia
Term
when you have difficulty saying words because of problems with the muscles that help you talk.
Definition
dysarthria
Term
t/f: MS is difficult to diagnose because there is no definitive test
Definition
true
Term
t/f: MS diagnosis made on clinical history, presentation of symptoms, and the elimination of other neurologic deficits
Definition
true
Term
t/f: MS treatment is aimed at treating acute attacks, and decreasing the number of attacks and subsequent neurologic disabilities
Definition
true
Term
drugs used to treat MS
Definition
corticosteroids, interferon, and Imuran
Term
t/f: with parkinson's and ms, focus care on preventing injuries and complications. safety is a major concern with these patients.
Definition
true
Term
t/f: in MS, there are meds available to cure disease
Definition
FALSE!
NO CURE! meds only treat symptoms
Term
Immunomodulating Agents for MS
Definition
Interferon beta- 1a (Avonex; Rebif)- Glatiramer Copaxone)
Interferon beta- 1b (Betaseron - Natalizumab- Tysabri)
Term
Immunosuppressive Agents for MS
Definition
Imuran; Cytoxan
Term
Antiinflamatory Agents for MS
Definition
ACTH; glucocorticoids
Term
Muscle Relaxants for MS
Definition
baclofen (Lioresal); Dantrium; Valium
Term
Anticholinergics/Cholinergics for MS
Definition
Ditropan; Urecholine
Term
plasma exchange procedure that removes the plasma component from whole blood.
Definition
plasmapheresis
Term
what is the goal of plasmapheresis?
Definition
to remove inflammatory agents, such as T Lymphocytes
Term
t/f: plasmapheresis is very similar to hemodialysis because it is also accessed through an artery and vein where blood passes through a blood separater where the plasma is removed, and then cellular blood components are re-transfused using fresh-frozen plasma or albumin
Definition
true
Term
how is foot drop relieved?
Definition
achilles tenotomy
Term
progressive, degenerative neurologic disease characterized by non-intention tremor, bradykinesia, muscle rigidity, and postural instability
Definition
Parkinson's disease
Term
t/f: Parkinson's is most common among males over 50 years old
Definition
true
Term
t/f: Parkinson's is the 2nd most common neurodegenerative disorder
Definition
true
Term
t/f: Parkinson's etiology is unknown
Definition
true
Term
commonly occuring, slowly progressive, degenerative disorder caused by dopamine deficiency
Definition
Parkinson's disease
Term
What does dopamine do?
Definition
it carries messages to tell the body how and when to move
Term
t/f: shortage of dopamine causes movements to become more difficult
Definition
true
Term
t/f: Secondary parkinsonism is similar to Parkinson's disease, but it is caused by certain medicines, a different nervous system disorder, or another illness.
Definition
true
Term
what is the most distinct tremor of parkinsons? (non-intention tremor)
Definition
"pill-rolling" of thumb and forefinger
Term
t/f: stress and anxiety increase all tremors
Definition
true
Term
what causes the tremors?
Definition
normal balance between excitatory and inhibitory neurotransmitters is disrupted; disorder of voluntary motor function occurs
Term
neurotransmitter involved in motor function
Definition
dopamine
Term
why is the dopamine level affected?
Definition
atrophy of neurons of the substantia nigra
Term
which neurons produce dopamine
Definition
neurons of the substantia nigra
Term
difficulty in initiating a movement, then moving very slowly (frozen in place)
Definition
akinesia/bradykinesia
Term
involuntary, short, rapid, shuffling
Definition
festination
Term
backwards walking
Definition
retropulsion
Term
itchy rash, white scaley skin
Definition
seborrhea
Term
cardinal signs of parkinsons disease
Definition
1. resting tremors and shaking
2. muscle rigidity and stiffness
3. bradykinesia
4. postural instability
Term
how is parkinson's disease diagnosed?
Definition
complete health assessment, medical history, and complete neurologic examination
Term
t/f: parkinson's disease cannot be cured or arrested but symptoms can be controlled with drug therapy
Definition
true
Term
drugs used to decrease akinesia in parkinson's patients
Definition
Levodopa, dopamine agonists, anticholinergic drugs, antihistamines, and amantadine
Term
t/f: parkinson's drugs are not initiated until the symptoms become incapacitating because of the side effects and a decreased responsiveness after 5 years
Definition
true
Term
t/f: treatment with levodopa does not prevent the progressive changes that are typicl of Parkinson's disease
Definition
true
Term
eyes become fixed with a lateral and upward gaze
Definition
oculogyric crisis
Term
t/f: there is no test for Parkinson's disease
Definition
true
Term
t/f: PD pharm. goal is to control symptoms to greatest extent possible
Definition
true
Term
dopamine precursors
Definition
levodopa, carbidopa
Term
dopamine agonists
Definition
apomorphine; bromocriptine; parmipexole; ropinirole; rotigotine transdermal system
Term
monoamine oxidase B inhibitors for PD
Definition
selegiline/deprenyl; rasagiline
Term
catecholOmethyltransferase inhibitors for PD
Definition
entacapone; tolcapone
Term
anticholinergics for PD
Definition
trihexyphenidyl; benztropine, ethopropazine
Term
glutamate antagonist for PD
Definition
amantadine
Term
surgical treatment involving the implantation of a medical device called a brain pacemaker, which sends electrical impulses to specific parts of the brain; In select brain regions it has provided therapeutic benefits for otherwise-treatment-resistant movement and affective disorders such as Parkinson's disease, essential tremor, dystonia, and chronic pain
Definition
Deep Brain Stimulation
Term
recent development; locates affected area(s) in the brain and destroys involved tissue
Definition
pallidotomy
Term
destroys small amount of tissue in thalamus with needle; used to decrease tremors and rigidity
Definition
stereotaxic thalamotomy
Term
adrenal medullary grafted to basal ganglia
Definition
autologous adrenal medullary transplant
Term
dysarthria
Definition
difficulty with motor control of the mouth
Term
agnosia
ataxia
aphraxia
aphasia
Definition
Term
nonintentional shakes
Definition
shakes at rest but usually stop when reaching for something
Parkinsons
Term
intentional shakes
Definition
fine at rest but shakes when reaching for something; MS
Term
Famous people with Parkinson's
Definition
Hitler, Michael Fox, Muhammed Ali
Term
(PARKINSONS or HUNTINGTONS) Increase in acetecholine, decrease in dopamine
Definition
parkinsons
Term
(PARKINSONS or HUNTINGTONS) Decrease in acetecholine, increase in dopamine
Definition
huntington's
Term
why do parkinson's patients have night mares?
Definition
anti-dyskinetics produce nightmares and hallucinations
Term
levodopa
Definition
crosses blood brain barrier and converts to dopamine
Term
carbidopa
Definition
protects dopamine and holds it in
Term
carbidopa and levodopa mixed together
Definition
Cinemet
Term
agonist
Definition
a substance that fully activates the neuronal receptor that it attaches to
Term
antagonist
Definition
a substance that attaches to a receptor but does not activate it or if it displaces an agonist at that receptor it seemingly deactivates it thereby reversing the effect of the agonist
Term
blood brain barrier
Definition
a separation of the circulating blood from the brain extracellular fluid (BECF) in the central nervous system
Term
progressive, degenerative, inherited neurologic disease characterized by increasing dementia and chorea; single-gene autosomal-dominant inherited disease that affects the neurons of the basal ganglia
Definition
huntington's disease
Term
jerky, rapid, involuntary movements; dancing or writhin of the limbs or facial muscles
Definition
chorea
Term
why is huntinginton's also known as "Huntington's Chorea?
Definition
because chorea is the most common presenting symptom of huntingtons
Term
t/f: huntingtons has a cure
Definition
false
Term
why does dopamine increase in huntingtons?
Definition
Gamma-aminobutyric acid (GABA) is decreased and acetylcholine is decreased, which results in an excess of dopamine
Term
autosomal dominant disorder means
Definition
if you have the gene, you have the disorder
Term
excess of dopamine contributes to these s&s of huntingtons
Definition
severe depression, memory loss with decreased ability to concetrate, emotional lability, impulsiveness, mood swings, dementia, disorientation, confusion
Term
t/f: in huntingtons, motor signs worsen with environmental stimuli and emotional stress
Definition
true
Term
t/f: in huntingtons, motor signs usually are absent when sleeping
Definition
true
Term
t/f: in huntingtons, death is usually caused by aspiration pneumonia or another infection
Definition
true
Term
how to diagnose huntingtons
Definition
genetic testing (chromosome 4)
Term
pharmacology for huntingtons
Definition
antipsychotics; block dopamine; antidepressants
Term
huntingtons: t/f: death usually occurs within a year after being diagnosed
Definition
false! after 15 years
Term
early symptoms of huntingtons:
Definition
mood swings, depression, irritbility, trouble driving, learning new things, remembering facts or making decisions; abnormal movement and pregressive dysfunction of intellectual and thought processes
Term
slow thinking
Definition
bradyphrenia
Term
a heightened state of well-being
Definition
euphoria
Term
t/f: each child of an HD parent has a 50% chance of inheriting the HD gene. Anyone who inherits the gene will eventually develop the disease
Definition
true
Term
t/f: dopamine agonist drugs cn help control the movement disorder of HD
Definition
true
Term
progressive, degenerative neurologic disease characterized by weakness and wasting of involved muscles WITHOUT sensory or cognitive changes; disease of the upper and lower motor neurons; leads to respiratory failure; has two names
Definition
Amyotrophic Lateral Sclerosis (ALS) or Lou Gehrig's Disease
Term
what differentiates Lou Gehrig's (ALS) from other motor neuron disorders?
Definition
1. involvement of both the upper and lower motor neurons
2. the degeneration is not accompanied by inflammation
Term
t/f: lou gehrig's disease slightly higher possibility in men
Definition
true
Term
most common motor neuron disease
Definition
ALS lou gehrigs
Term
amyotrophic
Definition
without muscle nutrition; progressive muscle wasting
Term
lateral sclerosis refers to:
Definition
the scarring that takes place in the lateral column of the spinal cord, which is the upper motor neuron component of the ALS lou gehrigs syndrome
Term
defined as overactive or overresponsive reflexes. Examples of this can include twitching or spastic tendencies, which are indicative of upper motor neuron disease as well as the lessening or loss of control ordinarily exerted by higher brain centers of lower neural pathways (disinhibition)
Definition
hyperreflexia
Term
involuntary contraction or twitching of muscle fibers
Definition
fasciculations
Term
s&s ALS Lou Gehrig's
Definition
muscle spasticity, hyperreflexia, faciculations, tongue atrophy, dysarthria, fatigue, urinary and bowel dysfunctions
Term
t/f: in ALS Lou Gehrig's Disease, intellectual ability, sensory function, vision, and hearing are all affected
Definition
FALSE! NONE ARE AFFECTED!
Term
T/F: cpk (creatinine phosphokinase) may be elevated in ALS
Definition
true
Term
Rilutek
Definition
antiglutamate that slows deterioration in ALS
Term
t/f: Lou Gehrigs patients are at risk for aspiration and pneumonia
Definition
true
Term
chronic, progressive neuromuscular disorder characterized by fatigue and severe weakness of the skeletal muscles; experiences remissions and exacerbations
Definition
myasthenia gravis (MG)
Term
t/f: MG occurs more in women than in men
Definition
true
Term
pathophysiology of MG
Definition
antibodies destroy/block neuromuscular junction receptor sites, resulting in decrease in number of acetylcholine receptors; also structural changes that result in diminished acetylcholine uptake; results in Decrease in muscle's ability to contract; (weakness and rapid fatigue)
Term
why do MG patients have to have thymectomys?
Definition
the thymus gland never disappears when they mature and becomes a tumor which is believed to be source of the auto-antigens
Term
ptosis
Definition
droopy eyelids
Term
dysarthria
Definition
difficulty speaking
Term
dysphagia
Definition
difficulty swllowing
Term
t/f: MG symptoms increase with repeated activity and improve with rest, so its best to do things in the morning before the fatigue sets in
Definition
true
Term
s&S of MG N2K!
Definition
DYSARTHRIA, DYSPHAGIA, PTOSIS, DIPLOPIA, NASAL SOUND TO VOICE, AND WEAK NECK MUSCLES
Term
myasthenic crisis
Definition
sudden exacerbation of motor weakness; often due to under medication, missed doses, or developing infection; insufficiency of acetylcholine ; life threatening
Term
s&S myasthenic crisis
Definition
tachycardia, tachypnea, severe respiratory distress, dyspagia, restlessness, impaired speech, anxiety
Term
cholinergic crisis
Definition
result of over-dosage of medication; excess of acetylcholine
Term
S&S cholinergic crisis
Definition
gi symptoms, severe muscle weakness, vertigo, respiratory distress
Term
how are myasthenic and cholinergic crisises differentiated?
Definition
tensilon test
Term
tensilon test
Definition
edrophonium chloride is given IV and individual is observed for muscle tone improvement.
Term
t/f: in tensilon test, muscle improvement is myasthenic crisis
Definition
true
Term
t/f: in tensilon test, if there is no improvement in muscle tone, test is negative and crisis is cholinergic
Definition
true
Term
why tensilon?
Definition
because S&S are very similar
Term
primary MG meds
Definition
1. anticholinesterases: allow acetylchoine to concentrate at receptor sites: Mestinon- most common, prolongs contraction of muscles
2. corticosteroids- suppress antibodies that block Ach-R (Prednisone)
3. Immunosuppressants: used when other meds fail to reduce symptoms
Term
the complete exchange of plasma
Definition
plasmapharesis
Term
acute inflammatory demyelinating disorder of the PNS; progressive, usually with rapid muscle weakness and paralysis; one of the most common PNS disorders; usually occurs after a viral respiratory or GI infection
Definition
guillian-barre' syndrome
Term
t/f: GBS rehabilitation time varies from 6 months to 2 years
Definition
true
Term
t/f: GBS usually ascending
Definition
true
Term
Ascending GBS
Definition
muscle weakness starts in legs and works its way up to arms and trunk
Term
descending GBS
Definition
muscle weakness starts in the arms and works its way down to the legs
Term
Miller Fisher Syndrome
Definition
the symptoms begin in the patient's head. The illness affects eye muscles and balance first. It then slowly moves down the body to the neck, arms and other areas.
Term
acute panautonomic neuropathy
Definition
affects ALL the nerves, CNS and PNS
Term
t/f: GBS initially in lower extremeties, then to upper extremeties, torso, and cranial nerves
Definition
true
Term
paresthesia
Definition
numbness
Term
what do you do to GBS patients who can't close their eyes?
Definition
Eye Drops
Eye creams
Tape Eyes shut
Term
3 phases of GBS
Definition
Acute
Plateau
Recovery
Term
t/f: 85% of GBS patients recover completely
Definition
true
Term
chronic disease of the trigeminal cranial nerve that causes severe facial pain
Definition
trigeminal neuralgia (tic douloureux)
Term
contributing factors to trigeminal neuralgia
Definition
- irritation from flu
- trauma or infection of teeth or jaw
- pressure on nerve by aneurysm
- tumor
- arteriosclerotic changes of artery near nerve
Term
t/f: Tic douloureux can be characterized by brief repetitive episodes of sudden severe facial pain that may occur as often as hundreds of times per day to as infrequently as a few times a year
Definition
true
Term
how is the trigeminal neuralgia pain described?
Definition
stabbing or lightning-like pain
Term
t/f: trigeminal neuralgia can be irritated by eating, light touch, talking, swallowing, brushing teeth, shaving, etc.
Definition
true
Term
rhizotomy
Definition
surgical severing of a nerve root
Term
percutaneous rhizotomy
Definition
closed procedure where needle goes through cheek into foramen ovale at the base of the brain to partially destroy trigeminal nerve
Term
retrogasserian rhizotomy
Definition
total severing of nerve root
Term
disorder of the facial nerve; characterized by unilateral paralysis of facial muscles; the eye does not close and the forehead does not wrinkle; impairs taste; individual cannot smile, whistle or grimace; paralyzed side is masklike and sags with constant tearing of the eye and possible drooling
Definition
bell's palsy
Term
t/f: bells palsy has a relationship to herpes simplex virus
Definition
true (uh oh Jenny ;) LOL)
Term
t/f: decompression of facial nerve cures bell's palsy
Definition
FALSE! no evidence that doing so is of value
Term
viral infection of CNS transmitted by infected saliva that enters through open wound; frequently causes death; virus carried by wild and domestic animals
Definition
rabies (rhabdovirus)
Term
pathophysiology of rabies
Definition
spreds from wound to local muscle cells and then invades peripherl nerves; eventually travels to CNS
Term
two signs of rabies
Definition
Initial and Excitement
Term
Initial rabies stge
Definition
site is painful; exhebits various paresthesias, anxiety, irritability, depression
Term
excitement rabies stage
Definition
periods of excitement and quiet; hydrophobia; thick mucus; convulsions, muscle spasms, periods of apnea, death can occur in 7 days (The Ring? SEVEN DAYS)
Term
disorder of the nervous system caused by a neurotoxin from clostridium tetni; anaerobic bacillus lives in the soil; spres enter body through open wound, germinate, and produce the tetanospasmin toxin
Definition
tetanus- lockjaw
Term
s&S of tetanus
Definition
stiffness, dysphagi, profuse perspiration, hyperreflexia, jaw/neck/facial muscle spasms, tonic seizures
Term
botulism
Definition
food poisoning
Term
what toxin produces botulism?
Definition
clostridium botulinum; found in soil; most cases from eating improperly canned or cooked foods
Term
pathophysiology of botulism
Definition
toxins absorbed by GI tract and bind to nerve tissues; block release of acetylcholine from nerve endings
Term
complication of previous infection by poliomyelitis virus; increased in women;
Definition
post-polio syndrome
Term
pathophysiology of post-polio syndrome
Definition
virus destroys some of the motor cells of the anterior horn of the spinal cord; mild to severe flaccid paralysis and atrophy; signs emerge years after initial infection; seen in those who had a severe case of polio with hospitalization
Term
a cluster of symptoms localized near the jaw; can be caused by degenerative arthritis of mandibular joint, teeth malocclusion, bruxism, dislocation of jaw during ET; occurs when the meniscus, cartilaginous disk, between condyle and temporal bone dislaced; results in s&S
Definition
Temporomandibular Disorder (TMD) (TMJ)
Term
s&S TMD
Definition
jaw pain, HA, tinnitus, ear pain, clicking of jaw, may even lock periodically
Term
neurologic disorder characterized by persistent tics
Definition
tourettes syndrome
Term
sudden involuntary movements and vocalizations
Definition
tics
Term
t/f: no two tourettes patients are the same
Definition
true
Term
t/f: tourretes does not impair intelligence
Definition
true
Term
neurological disorder characterized by paresthesias or dysethesias of legs
Definition
restless leg syndrome
Term
t/f: in RLS, leg pain eases with motion of legs nd is more noticeable at rest
Definition
true
Term
comes from the Greek words meaning "not-normal" and "sensation" (abnormal sensation)It is defined as an unpleasant, abnormal sense of touch. It often presents as pain but may also present as an inappropriate, but not discomforting, sensation. It is caused by lesions of the nervous system, peripheral or central, and it involves sensations, whether spontaneous or evoked, such as burning, wetness, itching, electric shock, and pins and needles
Definition
dysesthesias
Term
the excessive grinding of the teeth and/or excessive clenching of the jaw
Definition
bruxism
Term
any disease of the nerves
Definition
neuropathy
Term
any syndrome causing muscle weakness, paresthesias, impaired reflexes, and autonomic symptoms in the hands and feet
Definition
peripheral neuropathy (polyneuritis, polyneuropathy)
Term
t/f: diabetes mellitus is the most common cause of metabolic neuropathy
Definition
true
Term
t/f: alcoholism is the most common nutrition related neuropathy
Definition
true
Term
group of genetic disorders that affects the cell growth of neural tissues; has two names and two types; can very from skin spots to tumors, scoliosis, seizures, gliomas, neuromas, htn, and mental retardation
Definition
neurofibromatosis (von recklinghausen's disease)
Term
type one neurofibromatosis
Definition
skin spots, non/malignant neurofibromas, scoliosis, seizures, gliomas, neuromas, htn, and mental retardation; no cure
Term
type two neurofibromatosis
Definition
intracranial and spinal tumors; 8th cranial nerve is especilly susceptible; palliative care
Term
t/f: glossopharyngeal neuralgia is similar to trigeminal neuralgia but is more rare
Definition
true
Term
difference between glossopharyngeal and trigeminal neuralgia
Definition
glossopharyngeal orginates in throat and cn affect ear; trigeminal is facial pain.
Term
intense, sudden, and repeating pain
Definition
paroxysmal pain
Term
syndrome caused by continuous signaling of the end regions of peripheral nerve fibers that activate muscle fibers; causes muscle stiffness, continuous twitching/vibrating of muscles, cramping, increased sweating, and delayed muscle relaxation; has three names
Definition
Isaac's syndrome (neuromyotonia, continuous muscle fiber activity syndrome)
Term
t/f: symptoms of Isaac's syndrome cn occur even during sleep or when under general anesthesia
Definition
true
Term
t/f: when confusion, hallucinations, and insomnia are associated with Isaac's syndrome, the condition is known as Marfan's syndrome
Definition
true
Term
progressive loss of cognitive and intellectual functions without impairment of perception or consciusness
Definition
dementia
Term
the onset of delirium during the evening or night with disappearance of delirium during the day
Definition
sundowning
Term
chronic neurologic disorder that involves progressive and selective degeneration of neurons in the cerebral cortex and certain subcortical structures; most common in women; loses ability to perform ADLs, impairment of short/long term memory, aphasic, apraxic, complete loss of cognitive function and emotional response
Definition
alsheimers disease (AD)
Supporting users have an ad free experience!