Cns Combanium Flashcards
Higher functions
Handedness
Orientation
Memory
Emotional lability
Speech disturbance
Types of dysarthria
Cortical
Spastic/ pseudobulbar
Flaccid/ bulbar
Cerebellar
Types of aphasia
Sensory(wernickes - fluent aphasia with impaired comprehension and repetition)
Motor(brocas- non fluent aphasia with impaired repetition and comprehension is intact)
Transcortical motor(motor aphasia with intact repetition)
Transcortical sensory( sensory aphasia with intact repetition)
Conduction aphasia(impaired repetition)
Global aphasia(sensory and motor)
Grasp reflex
Place first and second finger between patients thumb and forefinger and try to draw ur fingers away,patient will try to grasp and pressure will increase
Suckling reflex
Touch corner of mouth and look for sucking movement of lips and deviation of mouth in direction of stimulus
Glabellar tap
Repeated tapping of bridge of nose accompanied by spontaneous blinking,if it persists after 4-5 taps then reflex is inhibited
Palmo mental reflex
Brief contraction of ipsilateral mentalis causing Pickering of skin over chin in response to scratching skin near thenar eminence
Apraxia
Inability to perform motor acts in the absence of motor sensory deficit or ataxia
Nerve supply of lateral rectus
Cn 6
Nerve supply of superior oblique
Cn 4
Nerve supply in other extraoccular muscles
Cn 3
What is nystagmus
Involuntary conjugate rythmical oscillation of the eye
Grading of nystagmus
1st degree,only on deviation,fast phase to the same side
2- nystagmus in straight ahead position
3- fast phase opp to direction of gaze
Type of nystagmus
Pendular
Jerky
Pathway for horizontal gaze
Parietal occipital eye field
Frontal eye field
Paramedian pontine reticular formation thru 6
