II- Clinical Localization and Its Diagnostic Significance Flashcards
Give me the areas of dysfunction.
- Meninges
- Cortex
- Diencephalon (basal ganglia, thalamus, internal capsule)
- Brainstem (pons, midbrain, medulla)
- Cerebellum
- Spinal Cord
- Peripheral Nerve
- Autonomic Nervous System
- Neuromuscular Junction
- Muscle
Give me the Meningeal Diseases
- Meningitis
- Subarachnoid Bleeds
- Chemical irritation of meninges
- Tumors stretching meninges
What type of disease is meningitis?
Infectious Disease
What type of disease is subarachnoid bleed?
Vascular Disease
What type of disease is chemical irritation of meninges?
Traumatic Disease
What type of disease is tumor stretching meninges?
Neoplastic Disease
Diseases affecting the cortex
- Strokes
- Encephalitis (infectious)
- Demyelinating Disease
- Tumors
- Trauma
- Congenital
- Metabolic
- Degenerative
Diseases of the basal ganglia
- Parkinson’s Disorders
- Movement Disorders (usually degenerative disease)
- Strokes (Putaminal bleed is common)
- Infarcts of candelabra branches of middle cerebral artery
- tumors
Diseases affecting thalamus and internal capsule
- Strokes (both infarcts and thalamic bleed) Internal capsular lacunar stroke is common
- Tumors
- Demyelinated Disease (internal capsule)
Diseases affecting the brainstem
- Stroke (bleed and infarcts)
- Tumors (2/3 pediatric tumors)
- Demyelinated Disease
- Infections ( brainstem encephalitis or bickerstaff)
- Craniopathies
Cerebellar Diseases
- Strokes
- Tumors
- Brain abscess
- Demyelinated disease
- Trauma
- Congenital (dandy walker syndrome)
Spinal Cord Disease
- Trauma
- Tumors
- Demyelinating Disease
- Infections (viral: transverse myelitis) (tuberculosis: potts disease)
- Vascular (infarcts or AVM)
- Congenital (spinal muscular atrophy)
Peripheral Nerve Disease
- Neuropathies (polyneuropathy, mononeuropathy, mononeuropathy complex)
- Trauma
- Demyelinated Disease: Guillain-Barre Syndrome
- Degenerative Disease (Charcot Marie Tooth)
Disease of the Muscle
- Myopathies
- Infectious (polymyositis, dermatomyositis)
- metabolic (hypokalemic paralysis)
- Congenital (muscular dystrophy)
stiffness of flexion of head (neck stiffness)
nuchal rigidity
- start with knees flexed, then extend the knee
- sign
- Kernig’s sign
- Pain in the back area
- flex the head
- sign
- Brudzinski’s Sign
- Flexion of the head, flexion of the knee.
reponsible for the voluntary movement and for all conscious awareness
cortex
cortical signs
- Aphasia
- Apraxia
- Agnosia
- Visual field defects (homonymous hemianopsia and bitemporal hemianospia)
- tap the glabella while asking the patient to keep the eyes open
- sign
- Glabellar Tap or Meyerson’s Reflex
- Everytime you tap, the patient blinks the eyes
Frontal release signs implies what?
Lobe dysfunction
- Stroke the inner palm
- sign
- Grasp reflex
- Thumb will adduct
- stroke the thenar eminence of the palm
- sign
- Palmomental reflex
- dimpling under the chin
it resides under the cortex
diencephalon
gray matter contains what structure?
basal ganglia and thalamus
white matter contains what structure?
internal capsule
too much movement
hyperkinesia
irregular jerk of hands or feet (distal irregular movements)
chorea
snake like movement
athetosis
wild flailing movement of UE and LE
ballismus