Functional Localisation Flashcards
What would be seen on inspection of a CNS lesion?
Limb posture
What would be seen on examining tone in a CNS lesion?
Increased spasticity/clonus
What would be seen on examining tone in a PNS lesion?
Decreased tone
What would be seen on inspection of a PNS lesion?
Wasting/fasciculation
What would be seen on inspection of a NMJ lesion?
Additional ptosis/opthalmoplegia
What would be seen on inspection of a muscle lesion?
proximal wasting
What would be seen on examining tone in a NMJ lesion?
Same or decreased done
What would be seen on examining tone in a muscle lesion?
Same or decreased done
What pattern of weakness would be seen in a CNS lesion?
Pyramidal pattern:
Arms: Extensors weaker than flexors
Legs: Flexors weaker than extensors
Brain: contralateral
Spine: ipsilateral
What pattern of weakness would be seen in a PNS lesion?
Peripheral neuropathy: distal weakness
Root / plexus / mononeuropathy: dependent on innervated muscles
What pattern of weakness would be seen in NMJ pathology?
Normal
Increased fatiguability
What pattern of weakness would be seen in muscle pathology?
Decreased strength
Proximal weakness (symmetrical)
What would be seen on examining reflexes in CNS pathology?
Increased
What would be seen on examining reflexes in PNS pathology?
Decreased
What would be seen on examining reflexes in NMJ pathology?
Normal or reduced
What would be seen on examining reflexes in muscle pathology?
normal or reduced
What would be seen on examining plantar response in CNS pathology?
Extensor response
What would be seen on examining plantar response in PNS pathology?
Flexor/mute response
What would be seen on examining plantar response in NMJ pathology?
Flexor response
What would be seen on examining plantar response in muscle pathology?
flexor response
Are there any associated sensory symptoms with CNS pathology?
Brain: hemisensory
Spinal cord: sensory level
Are there any associated sensory symptoms with PNS pathology?
Peripheral neuropathy: glove + stocking
Root etc: dependent on, e.g. dermatone
Are there any associated sensory symptoms with NMJ pathology?
NO
Are there any associated sensory symptoms with muscle pathology?
no