Term
| when a stroke affects the Right cerebral hemisphere what are the results? |
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Definition
| contralateral paralysis, reasoning deficits, problem solving deficits |
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Term
| when a stroke affects the left cerebral hemisphere what are the results? |
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Definition
| contralateral paralysis, & verbal defecits |
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Term
| cerebellum damage from a stroke causes what dysfunction? |
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Definition
| ataxia, clumsiness, balance deficits, tremor |
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Term
| Life threatening malfuncitons affecting HR,and respirations result from injury to what structure? |
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Definition
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Term
| the pneumonic that helps you remember sensory, motor, or both types of information carry by the 12 CN is ? |
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Definition
| Some Say MOney Matters, But My Brother Says Big Brains Matter More |
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Term
| the space b/t the dura mater and the walls of the vertebral canal is ? |
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Definition
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Term
| the space that contains interstial (extracellular fluid? |
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Definition
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Term
| the space that contains cerebrospinal fluid and blood vessels? |
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Definition
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Term
| is the dorsal root responsible for sensory or motor? |
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Definition
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Term
| is the ventral root sensory or motor? |
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Definition
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Term
| what is located in the dorsal root ganglia? |
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Definition
| cell bodies and sensory nerves |
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Term
| what do DIRECT descending motor pathways carry? |
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Definition
| impulses for voluntary movement |
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Term
| what do INDIRECT descending motor pathways carry? |
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Definition
| impulses for autonomic movements for coordination of movement with vision, for postural tone and equilibrium |
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Term
| anterior and lateral spinothalamic tracts (ascending sensory pathways) control what sensory activities? |
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Definition
| pain, temperature, itching, tickling, deep pressure, crude touch |
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Term
| Posterior dorsal colums control what sensory activity? |
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Definition
| propiception, vibration, light pressure/touch |
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Term
| injury to the motor pathways leads to what? |
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Definition
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Term
| Damage to the motor neurons in the frontal cortex/tracts leads to what? |
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Definition
| upper motor neuron syndrome |
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Term
| Left lateral corticospinal tract damage at C2 leading to loss of control of the left upper and lower limbs is an example of ? |
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Definition
| upper motor neuron syndrome |
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Term
| muscle weakness, babinski sign, increased tone, hyperreflexia, and spastic paralysis are all characteristics of ? |
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Definition
| upper motor neuron syndrome |
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Term
| flaccid paralysis, diminished reflexes, muscle fasciculations,and loss of movement, atrophied muscles and decreased tone all characterise what injury? |
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Definition
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Term
| ptosis indicates interference of which cranial nerve? |
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Definition
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Term
| facial droop or assymmetry indicates problems with which cranial nerve? |
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Definition
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Term
| abnormal eye positioning can indicate problems with which cranial nerve(s)? |
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Definition
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Term
| any disorder characterized by recurrent seizures is ? |
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Definition
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Term
| lack of the ability to recognize significance of sensory stimuli |
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Definition
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Term
| inability to express thoughts in writing due to a central lesion |
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Definition
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Term
| lack of spontaneous movements as seen in Parkinson's |
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Definition
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Term
| inability to carry out purposeful movements in the absence of paralysis |
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Definition
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Term
| loss of power of muscle coordination |
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Definition
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Term
| without position or place affliction of the nervous system caused by degeneration in corpus striatum and cerebral cortex, characterized by bizarre writhing movements of finger/toes |
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Definition
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Term
| abnormal slowness of movements |
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Definition
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Term
| disorder characterized by irregular spasmodic involuntary movements of limbs or facial muscles. (attributed to degenerative changes in neostriatum |
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Definition
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Term
| disturbance of power to control the range of movement in muscle action (tested by finger to nose test) |
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Definition
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Term
| violent form of motor restlessness, caused by destructive lesion in subthalamic nucleus |
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Definition
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Term
| paralysis of both legs and part of trunk |
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Definition
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Term
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Definition
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Term
| rapid, brief, involuntary, unprovoked motor or verbal response |
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Definition
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Term
| what body parts are most affected by essential tremor |
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Definition
| hands, head, (voice is also affected) |
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|
Term
| what is the MC etiology of essential tremor? |
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Definition
| 50% are autosomal dominant caused "familial" |
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|
Term
| are essential tremors benign? |
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Definition
| yes, this is a distinguishing factor from Parkinson's |
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Term
| the 2 clinical settings elicited to diagnose essential tremor are? |
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Definition
1.arms suspended against gravity in a fixed posture
2. during the course of goal directed activity |
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|
Term
| what are the aggravating factors of essential tremor? |
|
Definition
1. alcohol withdrawal
2. stress
3. stimulants |
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|
Term
| what factors may alleviate essential tremor? |
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Definition
1.alcohol (temporarily)
2. relaxation |
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|
Term
| what are the clinical pearls of parkinson's? |
|
Definition
1. tremor, rigidity, bradykinesia, progressive postural instability
2.seborrhic dermatitis
3. mild (progressive dementia) |
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Term
| Dopaminergic depletion in the nigrostriatal system, and imbalance of DOpamine and ACh are pathophysiologic of what? |
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Definition
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|
Term
| are the tremors ass. with parkinson's better at rest or with voluntary activity? |
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Definition
| better with voluntary activity (worse resting tremors) |
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Term
| Around which body parts are tremors most common in parkinson's? |
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Definition
| mouth, lips, eyes (blepharoclonus) |
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|
Term
| what is Myerson's sign, and what is it indicative of ? |
|
Definition
sustained blink response when the bridge of the nose is tapped.
indicates parkinson's |
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|
Term
| are DTR normal or diminished in Parkinson's? |
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Definition
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|
Term
| Name 3 pharmacological treatments of Parkinson's ? |
|
Definition
1. Carbidopa
2. Levodopa
3. Sinemet |
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|
Term
| What is the role of anticholinergics in parkinson's dz treatment? |
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Definition
| decreases and controls tremor and rigidity |
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|
Term
| Name 2 dopamine agonist used to tx Parkinson's? |
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Definition
| Bromocriptine & Pergolide (ergot derivatives) |
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Term
| A dz similar to Parkinson's w/ bradykinesia, abnormal gait, increased muscle tone, and vertical opthalmoplegia dementia but usually w/o tremor is ? |
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Definition
| PSP (progressive supranuclear palsy) |
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Term
| vertical opthalmoplegia is a sign of what dz? |
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Definition
| PSP (it distinguishes it from parkinson's) |
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Term
| the dz trademarked by chorea & dementia? |
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Definition
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|
Term
| what is the chromosome linked to huntington's dz? |
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Definition
| chromosome 4 , autosomal dominantly inherited |
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|
Term
| Name three imaging test used to diagnose Huntingdon's? |
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Definition
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Term
| What structural difference is seen on CT of a Huntingdon's patient? |
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Definition
| cerebral and caudate atrophy |
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Term
| MRI/PET scan of a Huntingdon's patient shows what characteristic of the dz? |
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Definition
| reduced glucose utilization in ananatomically normal caudate nucleus |
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Term
| What is the tx for Huntington's? |
|
Definition
| NO curative tx, but antipschotics can be used along with other supportive therapy |
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Term
| occassional focal myoclonic jerks that are not pathologic can be tx how? |
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Definition
| anticonvulsants, bensodiazepines, oxitriptan (serotonin precursor) |
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Term
| motor and phonic tics are characteristic of what? |
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Definition
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|
Term
| coprolalia is what and what is it characteristic of ? |
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Definition
| blurting of obscene speech. seen in tourette's |
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|
Term
| RLS can be treated with what? |
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Definition
| bromocriptine, pergolid, ropirinole, pramipexole, opiate, benzo's |
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|
Term
| what is the mechanism of carbidopa? |
|
Definition
| it inhibits the enzymatic conversion of levodopa to dopamine |
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Term
| Problems with lower motor sensory neurons and loss of function along a nerve describes ? |
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Definition
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Term
| Problems with upper motor neurons,spasticity and hyperreflexia below a certain nerve level is? |
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Definition
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|
Term
| what is the most common inherited neuropathy? |
|
Definition
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