Clinical Assessment of the Neurosurgical Patient Flashcards
1
Q
How to assess the non communicative patient?
A
Observation - posturing - focal lack of movement - neglect - eye movements Assess speech Mini mental score
2
Q
What is tractography?
A
Diffusion tensor imaging
3
Q
What must be done before examining a patients language?
A
Hearing intact
First language english
4
Q
What is normal aphasia?
A
Naming things
5
Q
What is a good phrase to test cerebellar speech?
A
Baby hippopotamus
6
Q
Function of parietal lobe
A
Body image representation Multimodality assimilation Visuospatial coordination Language Numeracy
7
Q
Functions of temporal lobe
A
Processes auditory input (Heschl gyrus) Language Encoding declarative long term memory (hippocampus) Emotions (amygdala) Visual fields (meyers loop)
8
Q
What is the pneumonic which helps remember the presentation of a cerebellar problem?
A
DANISH P
- dysdiadochokinesia
- Ataxia
- nystagmus
- intention tremor
- slurred speech
- hypotonia
- past pointing
9
Q
Presentation of long tract sign
A
Clonus Upgoing plantars Increased tone Hoffman sign Brisk reflexes Proprioception impairment Rombergs test Tandem walking
10
Q
Presentation of radiculopathy
A
Pain in a single dermatome
Dermatomal sensory disturbance
Weakness in myotome
Loss of reflex
11
Q
How nerve roots named?
A
According to the pedicle they go underneath
