CNS Flashcards
CSF is produced by
Choroid
CSF is reabsorbed by
Arachnoid
LP is done at the level of
L3-L4 or L4-L5 to avoid injury to the spinal cord (terminates at L1 or L2)
Trochlear nerve
Downward, internal rotation of eye
Corneal reflex
CN 5
Motor examination
Muscle bulk Fasciculation Muscle tone Muscle power Reflex
Muscle bulk measurement
10cm above and 20 cm below tibial tuberosity
Types of hypertonia
Clasp knife: corticospinal tract lesions
Lead pipe: extra-pyramidal tract lesion
Cog wheel: Parkinson
Muscle power grading
Out of 5
0: no movement at all
1: flickering of the digits
2: moves without gravity (side to side)
3: moves against gravity
4: moves against restraint
5: moves against full restraint
Jendrassik maneuver
To enhance reflexes
Clenching teeth: upper limb
Hooking hands and pulling apart: lower limb (patellar)
Tendon reflex locations
Triceps
Biceps
Brachioradialis
Knee (patellar)
Achille’s refex
Grading of tendon reflex
0 to 4
0: no
1: slight
2: normal
3: very brisk (hyper-reflexia)
4: with clonus (patellar, ankle)
Circle of Willis
Anterior cerebral arteries
Anterior communicating artery
Posterior communicating artery
Posterior cerebral arteries
Four key features of stroke
Sudden onset
Focal involvement of CNS
Vascular cause
Lack of rapid resolution
Risk factors of stroke
Age Heredity Hypertension DM Dyslipidemia Smoking Alcohol