Cognitive Disorders Flashcards
Last Fxn to go in Alz
Motor Function
Pick is Diff from Alz b/c…
early onset changes in: - personality - dis-inhibition/apathy - soc. inapp. beh - mood changes - psychotic sx LANGUAGE affected EARLY
Late Stage of Pick Dx
Memory loss
Apraxia
agnosia
Key path findings in Pick
Temporofrontal Atrophy
Demyelination and gliosis of FRONTAL lobe
Pick Body (intracellular inclusions)
Pick cells (swolle neurons)
Chronic Subdural Hematoma
reversible dementia
Nontraumatic cause of Subdural hematoma
rapid decel injury
Ruptured aneurysm
AVM at pial surface
Most common sx of CHRONIC subdural hematoma
HA Confustion Inattention Apathy Memory Loss Drowsy COMA
EPIdural Hematoma
caused by temporal/parietal fracture
sx diff from subdural in that its an emergency
more likely to see lateralization sx like hemiparesis CN palsies etc
Partial Complex Seizures
Staring
olfactory hallucinations
automatisms (buttoning/unbuttoning shirt)
perceptual alterations (objects change shape/size)
some ANS sx (nausea, piloerection, GI sensations)
postictal HA and sleepiness
Abscence Seizures vs Partial Complex
NO postictal
no motor sx
SHORTER duration
OSA
sleep apnea caused by obstruction
patients wake up with dry mouth + HA
Early Cog Deficits of Huntingtons
sustained attn
Memoray retrieval
Procedural memory
visuospatial skills
Depersonalization d/o seen in which type of seizures
temporal lobe epilepsy or focal seizure d/o
Arsenic Poisoning
garlic breath causes inc permeability of small vessels in gut and intestinal mucosa desturciton --> blood diarrhea -N/V/D + abd pain seizures fluid loss/HYPOtn from diarrhea
Occipital Lobe Lesions
HOMOnymous Hemianopsia
HA (dull and achy)
papiledema +/- seizures
