24 JULY 2019 Flashcards
BPPV is what dx:
unilateral hyperfx peripheral
BPPV is not obvious because:
it is positional
unilateral hypofx peripheral is
neuritis
neuritis (unilateral hypofx peripheral) s/s =
reduced gaze stabilization (blurry) postural instablitiy (unsteady)
if you are unsteady and have a blurry vision you have
unilateral hypofx peripheral = neuritis
when you have dx in unilateral hypofx peripheral dx you dx what tract?
lateral vestibulopsinal tract = less fractionated movements = less voluntary control
hypofunction bilateral peripheral means
you have no VOR at all
s/s of hypofx bilateral peripheral
no VOR at all significant decrease in gaze stabilization oscillopsia: no visual stability w/head movement = eyes bounce /w head - postural instability
the big difference between hypofx bilateral and hypofx unilateral is
bilateral = complete loss of gaze stabilization = oscillopsia unilateral = gaze instability both = postural instability
which has more vestibospinal dx?
hyperfx unilateral peripheral : BPPV
over hypofx unilateral peripheral - neuritis
list all the eight hundred things the cerebrum helps us with?
perception voluntary moving language: nonverbal - verbal spatial relationship using visual info making decisions managing emotions remembering using mind-body interactions
the thalamus fx:
selective filter for cerebral cortex
- can turn signal up or down
direct attention to important information
- goest to three places
where does the thalamus send signals to for direct attention to important information
relay nuclei
association nuclei
non specific nuclei
the relay nuclei for the thalamus goes where?
the cortex
- handles sensory system
- basal ganglia
- cerebellum
the association nuclei for the thalamus handles what?
reciprocal connections to the cortex
non-specific nuclei for the thalamus handles what?
consciousness
arousal
attention
lateropulsion is
“contraversive pushing”
pushing syndrome
what is another name for pushing syndrome?
laterpulsion
how do you get laterpulsion?
you don’t feel the pull of gravity in one inner ear so you feel it harder in the other ear
- feeling it harder in one ear makes it seems like you are getting pulled in that ear so you push to the other side to correct
- however, since there is no actual pull you end up just pushing
thalamic lesions include:
- loss of contralateral senstatation (propriocpetion)
2. thalamic pain (neurpathic) syndrome possible
brainstem dx in the 1. face 2. body 3. anything roastral present how?
face - ipslateral
body - contralateral
roastral - contralateral everything
dencephalon means
everything thalamus related
thalamus is located where which means what?
the thalamus is behind part of the sensory pathway final synapse for ALL pathways
the thalamus if the final destination for what?
ALL pathways
name a therapy session for lateraopulsion
put tape on the sternum and tape on the mirror and then try to match straight up and down
pituitary tumors affect what part of the vision tract
the optic chiasm which causes bitemporal hemianopsia
a pituitary tumor would present as what in the eyes?
tunnel vision
bilateral hemianopsia
if you presented with tunnel vision (bilateral hemianopsia) that might be a
pituitary tumor