Anatomy And Lesions Flashcards

1
Q

Patient presents with:

  • bilateral loss of pain and temp sensations in upper extremities
  • spastic paralysis, hyperreflexia,hypertonic of lower extremities
  • loss of proprioceptive and 2 point discrimination
A

Syringomyelia

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2
Q

Patient presents with:

  • Paresis and atrophy of intrinsic muscles of hand, followed by arm and shoulders
  • dysarthria, dysplasia, and paresis of tongue
  • spastic paralysis, hyperreflexia, and Babinski
  • No sensory defects
A

ALS

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3
Q

Where is the lesion:

  • Right Face loss of sensory
  • Left side body loss of sensory
A

Alternating hemianalgesia, with lesion on the right

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4
Q

Where is the lesion:

-Abnormal horizontal gaze to the right

A

Left sides lesion

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5
Q

What is the diagnosis:

  • loss of pain and temp from left face
  • loss of pain and temp from right body
  • Swallowing defects
A

Wallenberg Syndrome aka lateral medullary syndrome on the left

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6
Q

What is the diagnosis:

  • Deafness and balance issues in right ear
  • Bell’s Palsy
  • hemianalgesia
A

Cerebellopontine (CPA) syndrome in right ear, usually caused by a posterior fossa tumor, especially the acoustic neuroma

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7
Q

What is the diagnosis:

  • External strabismus
  • R Pupillary dilation
  • R Complete ptosis
  • R loss of pain and temp of face
  • L loss of proprioception and 2 point tactile of body
  • Tremor at rest
  • Ataxia and choreiform Movement
A

-Benedict Syndrome (lesion at the midbrain tegmentum)

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8
Q

What is the diagnosis:

-Paralysis of upper gaze

A

Parinaud’s Syndrome, usually from tumor in Pineal gland

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9
Q

What is the diagnosis:

  • Constant spontaneous pain without stimulus
  • Extreme mood swings
  • “Bugs Crawling on Me”
  • Deep Pains
A

Thalamus Syndrome, usually due to thrombosis of posterior cerebral arteries

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10
Q

What is the diagnosis:

  • R paralysis of lateral gaze/internal strabismus
  • R Bell’s Palsy
  • L spastic hemiplagia
A

Right Millard-Gubler syndrome

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11
Q

What is the diagnosis:

  • R external strabismus
  • R pupillary dilation and ptosis
  • L body spastic hemiplagia
  • R supranuclear facial palsy
  • Right resting tremor
A

Weber Syndrome

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12
Q

What is the diagnosis:

  • Unable to recognize familiar objects
  • strong oral tendencies
  • overeating
  • Hypersexuality
A

Kluver Bucy Syndrome

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13
Q

What lesion is the cause of these symptoms:

  • flaccid paralysis
  • areflexia
  • Antonia
  • atrophy
  • fasiculations
A

Lower motor neuron lesion

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14
Q

What lesion is the cause of these symptoms:

  • Hypertpnia
  • hyperreflexia
  • Babinski’s sign
  • clonus
A

Upper motor neuron

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15
Q

What is the lesion location:

Failure to recognize the body scheme of the opposite side

A

Superior parietal lobule lesion

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16
Q

What is the location of the lesion:

  • finger agnosis
  • Right-left disorientation
  • dysgraphia
  • dyscalculia
A

Gerstmann Syndrome aka lesion to the dominant parietal lobe

17
Q

What is the diagnosis:

  • apathy
  • Occasional euphoria
  • Abrupt irritability
  • socially inappropriate behavior
A

Frontal lobe syndrome

18
Q

What is the diagnosis:

  • Ispalateral postural impairment (postive Romber’s test)
  • Vertigo
  • Nystagmus
  • Nausea, vomiting, pallor
  • Body and eyes looking to the right
  • Falling to the right
A

Vestibular dysfunction on the right

19
Q

What is the location of lesion in:

-Hemiballism (throwing things, wild violent motions,

A

Subthalamus

20
Q

What is the diagnosis:

  • Acute mountain sickness, became comatosed
  • Brought back down, and recovered
  • Changes in her personality began, less interested in hobbies
A

-Globus Pallidus Syndrome due to hypoxia (can mimic frontal lobe syndrome)

21
Q

Which condition is characteristic to show homonymous hemianopsia

A

ZOptic radiation damage, comply seen in damage to internal capsule due to MCA occlusion

22
Q

What is the diagnosis:

  • loss of pain and temp on left body
  • touch loss on left body and some of left face
  • Left spastic hemiplagia with hyperflexia and Babinski
  • inabilty to smile on left side
  • Left homonymous hemianopsia
A

Infarction of posterior limb of internal capsule

23
Q

Lesions in which are are indicative by superior homo qyatropia

A

Loop of Meyer

24
Q

What is the diagnosis:

  • olfactory hallucination of burning tar/sulfer
  • superior homo quadratropic
A

Temporal mass