CNS Flashcards
Causes for loss of conciousness
hyponatraemia
aortic stenosis (syncope)
embolus (TIA)
hypoglycaemia
where does the motor pathway in the lateral corticospinal tract cross over?
medullary pyramids
where does the sensation for pain, temp and coarse touch in the lateral spinothalamic tract cross over?
spinal level
where does the sensation for proprioception, pressure, fine touch and vibration in the Dorsal column cross over?
medulla
cord transection: result
bilateral motor and sensory loss in all levels below
cord transection: causes
fracture dislocation
metastatic disease compression
brown-sequard lesion: damage
hemisection, unilateral damage to the spinal cord
brown-sequard lesion: result
contralateral motor loss
contralateral vibration, proprioception, pressure and fine touch loss
ipsilateral coarse touch, pain and temperature loss
anterior spinal cord lesion: cause
anterior spinal artery syndrome
anterior spinal cord lesion: result
motor loss bilateral
pain, temperature and coarse touch lost bilaterally
proprioception, vibration, pressure and fine touch spared
expanding cord lesion: cause
syringomyelia
expanding cord lesion: result
selective pain, temp and coarse touch loss bilaterally
proprioception, pressure, fine touch, vibration spared
motor spared
normal aphasia: presentation and site of lesion
unable to identify common objects
left inferior parietal lobe
Global aphasia: presentation and site of lesion
no speech, no understanding
severe left hemisphere infarct
weak chest muscles: cause
guillaine barre syndrome