CNIM Vocabulary Flashcards
Acquaint yourself with the vocabulary surrounding IONM.
Acoustic Neuroma (Vestibular Schwannoma)
Tumor of the cochlear or vestibular branch of cranial nerve VIII.
CPA Tumor
Tumor in the cerebellopontine angle, usually affecting cranial nerves VII and VIII.
Sensorineural Deafness
Impairment of the cochlea or cochlear branch of the vestibulocochlear nerve.
Conduction Deafness
An impairment of the external and middle ear mechanism, including atherosclerosis (reduced blood supply due to obstruction of the arteries by plaque bodies).
Tinnitus
Any noise in the ear including ringing and/or buzzing. Caused by a build up of cerumen in the ear, damage to the eardrum, diseases of the inner ear such as Meniere’s disease and otosclerosis, or drugs such as aspirin and quinine.
Vertigo
Hallucination that one is moving or their surrounding environment is moving. A symptom found in those with diseases of the labyrinth, vestibular nerve, or its nuclei in the brain stem.
Otosclerosis
A hereditary disorder leading to deafness caused by an overgrowth of bone in the inner ear leading to the stapes being fixed to the fenestra ovalis, which separates the middle and inner ear, so that sound is not conducted to the inner ear.
Otitis
Inflammation of the ear.
Otitis Media
Acute infection of the middle ear cavity with the reddening and outward bulging of the eardrum, which may rupture.
Otalgia
Pain in the ear.
Labyrinthine Disease
Malfunction of the inner ear characterized by deafness, tinnitus, vertigo, nausea, and vomiting.
Meniere’s Disease
A type of labyrinthine disorder characterized by fluctuating hearing loss, attacks of vertigo, and rearing tinnitus.
Presbycussis
Hearing loss with age, usually resulting in high frequency hearing loss.
Acoustic Reflex
Auditory/Facial nerve reflex arc that pulls the acoustic muscle tight, blocking hearing.
Patellar Reflex
Normal monosynaptic sensorimotor reflex elicited by tapping the patellar tendon, causing contraction of the extensor muscles of the upper leg (kicking motion).
Babinski Reflex
Loss of brain control over the lower extremities and loss or lessening of the Achilles tendon reflex in sciatica. Elicited by scraping the soles, causing the toes to pull up (dorsiflexion). It occurs in lesions of the pyramidal (corticospinal) tract.
Romberg Signs
The tendency of a patient to fall when he closes his eyes standing still with his feet close together. Due to loss of joint position sensation, as with tabes dorsalis.
Hoffman Signs
Increased mechanical irritability of the sensory nerves in tetany. The ulnar nerve is usually tested. A sudden nipping of the nail of the index, middle, or ring finger produces flexion of the terminal phalynx of the thumb and of the second or third phalynx of the another finger, also known as digital reflex. Indicates cervical myelopathy.
L’Hermitte’s Sign
In cervical cord injuries or cord degeneration, transient dysesthesia and weakness noted in all four limbs when the patient flexes the head forward.
Tinel’s Sign
Used for noting a partial lesion or beginning regeneration of a nerve. Tingling sensation of the distal end of a limb when percussion is made over the site of the divided nerve such as in carpal tunnel impingement of the median nerve of the hand. Also called formication sign or distal tingling on the percussion (DTP) sign.
Brown-Sequard Syndrome
Due to the damage of one half of the spinal cord, resulting in the ipsilateral paralysis and loss of discriminatory joint sensation, and contralateral loss of pain and temperature sensation.
Horner’s Syndrome
Sinking of the eyeball, ptosis of the upper eyelid, slight elevation of the lower lid constriction of the pupil, narrowing of the palpebral fissure, and anhidrosis and flushing of the affected side of the face. Caused by paralysis of the cervical sympathetic nerves.
Tourette’s Syndrome
Brain disorder causing variable symptoms such as facial twitching and involuntary outbursts of profanity.
Arnold-Chiari Malformation
Stenosis of the brain stem at the foramen magnum due to malpositioned brain stem or cerebellum.
Tic Douloureaux (Trigeminal Neuralgia)
Compression of the trigeminal nerve by a vessel (usually SCA) causing attacks of severe facial pain.
Syringomyelia
Progressive cavitation within the central (usually cervical) spinal cord, resulting in segmental muscle weakness and loss of pain and temperature sensation.
Myelomenigocele
Protruding sac of the meninges, filled with fluid and possibly nerve root or spinal cord fibers via a defect in the spinal canal.
Myelopathy
Functional disturbances or pathological changes in the spinal cord.