External Anatomy Flashcards
Assuming a single lesion, what do symptoms (facial weakness) in the head rule out? rule in? (options: peripheral, spinal cord, brain)
Spinal cord. Moves diagnosis to pons
Assuming a single lesion, increased tone pathology usually rules out? (options: peripheral, spinal cord, brain)
Strictly peripheral
If in the brain, assuming a single lesion, which direction do you shift diagnosis to accommodate additional reported symptoms?
rostrally not caudally
Symptoms: sudden
Choose 1 Diagnosis: Stroke, Tumor or disease
Stroke except if caused by obvious trauma
Two types of Stroke include:
hemorrhagic and ischemic
Symptoms: progress gradually, unilateral
Choose Diagnosis: Stroke, Tumor or disease
Tumor
Symptoms: accompanied by increased cranial pressure
Choose Diagnosis: Stroke, Tumor or disease
Tumor or large hemorrhagic stroke
Symptoms: develop gradually and bilateral, no increased intracranial pressure
Choose Diagnosis: Stroke, Tumor or disease
Disease
Determine side of the symptoms, if lesion is in the spinal cord. What is the exception?
Sensory and motor symptoms are on the same side of the lesion. Exception: loss of pain and temperature
Determine side of the symptoms, if lesion is in the brain stem. What is the exception?
lesion is on the same side as the highest symptom and on opposite side as lower symptoms. No other exceptions.
Determine side of the symptoms, if lesion is in the forebrain. What is the exception?
all sensory and motor symptoms are on the opposite side of the body. Olfactory loss is the exception
Determine side of the symptoms, if lesion is in the cerebellum (or its input or output tracts). What is the exception?
all symptoms are on the same side of the lesion. no exceptions
Somatosensory words include _________ and can be reduced into one symptom
loss of pain position sense temperature joint sense one symptom: sensory loss of the "fill in with region of body" (because somewhere along ascending sensory pathways have been cut)
3 Motor symptoms diagnosis and associated anatomy:
Failure to Move (descending motor pathways)
Tremor/In-coordination (cerebellum)
Involuntary Movement (Basal Ganglia)
Descending Motor Pathways
Motor Cortex, Internal Capsule, Descending Motor tracts
Failure to Move Symptoms include…
Paralysis, Paresis, Weakness, Hypertonus, Spastic, Flaccid
What is the function of the largest component of our brain (85%)?
sensory, motor, and “cognitive” process
What is neocortex?
the composition of most of the cerebral cortex that is organized in 6 layers or laminae that are numbered from the surface of the brain to the deep white matter
How are connections of groups of neurons bet. laminae organized? its effect?
vertical or columnar fashion so that cells with similar function tend to span all cortical layers within the columns
What gyrus makes up the somatosensory cortex?
post-central
Occipital lobe Functions
visual system
Area V1 or area 17 is..
Visual area first comes to V1 aka Primary visual cortex of occipital lobe that includes a portion of the lingual and cuneate gyri and within the deep folds of the calcarine sulcus (medial)