Anatomy And Lesions Flashcards
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
Syringomyelia
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
ALS
Where is the lesion:
- Right Face loss of sensory
- Left side body loss of sensory
Alternating hemianalgesia, with lesion on the right
Where is the lesion:
-Abnormal horizontal gaze to the right
Left sides lesion
What is the diagnosis:
- loss of pain and temp from left face
- loss of pain and temp from right body
- Swallowing defects
Wallenberg Syndrome aka lateral medullary syndrome on the left
What is the diagnosis:
- Deafness and balance issues in right ear
- Bell’s Palsy
- hemianalgesia
Cerebellopontine (CPA) syndrome in right ear, usually caused by a posterior fossa tumor, especially the acoustic neuroma
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
-Benedict Syndrome (lesion at the midbrain tegmentum)
What is the diagnosis:
-Paralysis of upper gaze
Parinaud’s Syndrome, usually from tumor in Pineal gland
What is the diagnosis:
- Constant spontaneous pain without stimulus
- Extreme mood swings
- “Bugs Crawling on Me”
- Deep Pains
Thalamus Syndrome, usually due to thrombosis of posterior cerebral arteries
What is the diagnosis:
- R paralysis of lateral gaze/internal strabismus
- R Bell’s Palsy
- L spastic hemiplagia
Right Millard-Gubler syndrome
What is the diagnosis:
- R external strabismus
- R pupillary dilation and ptosis
- L body spastic hemiplagia
- R supranuclear facial palsy
- Right resting tremor
Weber Syndrome
What is the diagnosis:
- Unable to recognize familiar objects
- strong oral tendencies
- overeating
- Hypersexuality
Kluver Bucy Syndrome
What lesion is the cause of these symptoms:
- flaccid paralysis
- areflexia
- Antonia
- atrophy
- fasiculations
Lower motor neuron lesion
What lesion is the cause of these symptoms:
- Hypertpnia
- hyperreflexia
- Babinski’s sign
- clonus
Upper motor neuron
What is the lesion location:
Failure to recognize the body scheme of the opposite side
Superior parietal lobule lesion