Mod 1 Flashcards
What Cranial nerve is associated with Blindness?
Optic Nerve (CNII)
What Cranial nerve is associated with absence of smell associated with a loss of taste?
Olfactort CNI
If someone has a resting eye position that is “Down and out” and can’t elevate their eye what Cranial nerve would be impacted?
Occulomotor Nerve (CNIII)
What Cranial Nerve is Ptosis associated with? And WTF is this?
Occulomotor Nerve (CNIII) (Ptosis –> Ptosis is when the upper eyelid droops over the eye)
What Cranial Nerve is Mydriasis associated with? And WTF is this?
Occulomotor Nerve (CNIII)–> Mydriasis: Pupils become dilated, or larger.
What Cranial Nerve is associated with Diplopia? And WTF is this?
Occulomotor Nerve (CNIII)–> Diplopia is the medical term for double vision or seeing double.
If a person is having problems going down the stairs, and reading… what CN could be impacted (Think Intorsion and Depression)
Trochlear IV (Vertical and torsional Diplopia)–>
Controls superior oblique muscle (Moves the eye down and rotates the top of the toward the nose.)
Ipsilateral Fascial numbnes, and weak mastication muscles may indicate damage to what CN?
Trigeminal CNV
What are the muscles of Mastication?
Masseter, Temporalis, Lateral pterygoid, Medial pterygoid.
Esotropia is what? and What CN is it associated with ?
Abducens Nerve (CN VI) –> Eye misalignment in which one eye is deviated inward toward the nose
Horozontal Diplopia (Defect in lateral gaze is associated with what CN?)
Abducens Nerve (CN VI)
Taste, and Ossicular movement is associated with What CN?
Facial Nerve (CN VII)
My hearing, is shit. Plus my Balance is off… What CN should be checked?
Vestibulocochlear nerve VIII
The posterior 1/3 of my toungue is feeling weird and my taste is off.. What Cranial nerve could this be?
Glossopharyngeal nerve IX
If my gag reflex has disappeared what CN should I check?
Glossopharyngeal nerve IX
Oropharyngeal dysphagia is assoaiated with which CN?
Vagus X
What is dysarthria and what CN is associated with this condition ?
Vagus Nerve X–> Dysarthria is where you have difficulty speaking because the muscles you use for speech are weak.
A lower Motor Neuron lesion associated with the accessory nerve would have what symptoms? (accessory think SCM/Traps)
Paralysis of ipsilateral trapezius, SCM, Ipsilateral shoulder drop, turning head to contralteral side
An Upper Motor Neuron lesion associated with the accessory nerve would have what symptoms?
Paralaysis if ipsilateral SCM and contralateral trapezius
An Lower Motor Neuron lesion associated with the Hypoglossal nerve would have what symptoms?
Tongue Devieation towards lesion ; ipsilateral tongue atrophy, fasciculations (Twitching)
An Upper Motor Neuron lesion associated with the Hypoglossal nerve would have what symptoms?
Tongue Devieation away from lesion (Absence of ipsilateral tongue atrophy, fasciculations)
Stroke Vs Transient ischemic attack
(TIA) is a stroke that lasts only a few minutes. It occurs when the blood supply to part of the brain is briefly interrupted.
The anterior circulation.. What are the branches of the internal Carotid artery?
Anterior Choroidal, Ant Cerebral, Middle Cerebral, Lenticulostriate artery
The posterior circulation has 2 major branches what are these?
Vetebral Artery, Basilar Artery
Transcortical Motor Aphasia. WTF?
A type of non-fluent aphasia This means that speech is halting with a lot of starts and stops. People with TMA typically have good repetition skills, especially compared to spontaneous speech
Ideomotor apraxia wtf?
the impaired ability to perform a skilled gesture with a limb upon verbal command and/or by imitation (Pretend to use a Hammer)
Stroke Syndroms associated with Right Anterior cerebral artery
Left Leg Numb/ Weakness
Motor Neglect
Possible Ideomotor apraxia
Stroke Syndroms associated with Left Middle cerebral artery
Right face/ arm > Leg numbness and weakness
Aphasia (Speaking probs)
Left Gaze perference
Left Hemispatial Neglect WTF?
Reduced awareness of stimuli on one side of space, even though there may be no sensory loss.
Stroke Syndroms associated with Right Middle cerebral artery
Left face/ arm > Leg numbness and weakness
Left Hemispatial Neglect
Right Gaze preference
Agraphesthesia / asteroeagnesia
agraphesthesia / asteroeagnesia Wtfff..
Impaired ability to recognize letters or numbers drawn by an examiner’s fingertip on the patient’s skin (the patients eyes are closed or covered throughout this examination).
Stroke Syndromes According to Vascular Terrirory Anterior cerebral artery
Contralateral Leg paresis (Muscular weakness b/c of nerve damage) and sensory Loss
Stroke Syndromes According to Vascular Terrirory Middle cerebral artery (6)
1) Contralateral weakness and sensory loss of face and arm
2) Cortical Sensory loss
3) Contralateral homonymous hemianopia or quadrantanopia
4) If Left hemisphere–> Aphasia
5) If Right Hemisphere –> Neglect
6) Eye devieation towards the side of the lesion and away from the weak side
homonymous hemianopia or quadrantanopia
hemianopia describes visual defects that occupy about half of an eye’s visual space.
Quadrantanopia describes defects confined mostly to about one fourth of an eye’s visual spac
Stroke Syndromes According to Vascular Terrirory Posterior cerebral artery (4)
1) Contralateral Heminanopia or quadrantanopia
2) Midbrain Findings CN III and IV, hemiparesis
3) Thamic findings; sensory loss, amnesia, decreased conciousness
4) If bilateral: Cortical Blindness or Prosopagnosia
If Cranial Nerve III and IV are impacted by a stroke; what artery/ vascular territory could you suspect damage? (What are these cranial Nerves)
CNIII(3) - Oculomotor nerve
CN IV(4)- trochlear nerve
Posterior cerebral artery
Quadrantanopia Can be associated with arteries impacted by a stroke?
Posterior cerebral artery
Middle cerebral artery
Thamic findings of what artery after a stroke would have these symptoms …. sensory loss, amnesia, decreased conciousness
Posterior cerebral artery
Stroke Syndromes According to Vascular Terrirory Basilar Artery
Quadriparesis, Dysarthria, impaired eye movement
Dysarthria? What kind of ataxia is present?
Difficulty speaking because the muscles you use for speech are weak. Cerebellar ataxia
Quadriparesis ?
Weakness in all 4 limbs
Prosopagnosia?
face blindness or facial agnosia–> neurological disorder characterized by the inability to recognize faces
Stroke Syndromes According to Vascular Terrirory Posterior inferior cerebellar artery (PICA)
Wallenberg Syndrome
Ipsilateral ataxia, ipsilateral horner’s, ipsilateral fascial sensory loss, contralteral limb impairment (Pain and temperature sensation), nystagmus, Vertigo, Nausea/ Vomiting, Dysphagia, Dystharia, Hiccups
What 2 arteries may be impacted if someone has Wallenberg Syndrome?
blockage of the vertebral artery (VA) or posterior inferior cerebellar artery (PICA),
Wallenberg Syndrome
Difficulty swallowing
Hoarseness
Dizziness
Nausea and vomiting
nystagmus
Problems with balance and walking
Lack of pain and temperature sensation on only one side of the face
Uncontrollable hiccups
Ipsilateral Ataxia
Ataxia –> without coordination. Lose muscle control in their arms and leg
Nystagmus
Vision condition in which the eyes make repetitive, uncontrolled movements.
Result in reduced vision and depth perception and can affect balance and coordination
What is the difference between Dysphagia and Dysarthria
Dysphagia: Swallowing problems/ difficulties
Dysarthria: ifficulty speaking because the muscles you use for speech are weak.
Locked in syndrome is associated with which artery being impacted by a stroke?
Basilar
Stroke Syndromes According to Vascular Terrirory Medial medullary Infarct (Anterior Spinal Artery)
Contralateral Hemiparesis, Contralateral Impaired proprioception, and vibration sensation, ipsilateral tongue weakness
(Check) A lesion in the Upper Motor Neuron Would inpact what ?
fascial Supply to the ipsilateral supply that is innervating both upper and lower parts of the face on the opposite side
(CHECK) A lesion in the Lower Motor Neuron Would inpact what ?
Complete (Hemifacial paralysis) BELLS Palsy
What type of Neuron is lost with Huntingtons Disease?
GABAiminergic
What Structures are impacted with Huntingtons Disease?
Atrophy of the Stiratum
What are the symptoms of Huntingtons Disease?
Choreiform Movements (Jerky sudden Movements)
Cognitive Deficits
Psychiatric Manifestations
Dystonia is a movement disorder associated with ?
Basal Ganglia problem
Alzheimers Disease has what symptoms?
Memory Loss, Confusion, irrability, Hallucinations, Death
What type of changes happen in the brain to cause Alzheimers disease?
Abnormal protein deposits (Amyloid Deposits) (Neurofibrillary Plaques)
An ACH deficency is associated with what brain condition?
Alzheimers
What motor movement impairments are associated with alzheimer’s disease?
Aphasia, Apraxia, Agnosia
What is “Dementia with Lewy Bodies”
Visual Hallucinations, Parkinsonism, fluctuating cognition
Frontotemporal Dementia can also be called?
Picks Disease
What are the behavioral featurs associated with Frontotemporal dementia?
Disinhibition, perservation, decreased social awarnessm mental rigidity memory relatively spared
What are the Language featurs associated with Frontotemporal dementia?
Progressive non-fluent aphasia, semantic dementia
What are the symptoms associated with Huntington’s disease?
Chorea
Is a movement disorder that causes sudden, unintended, and uncontrollable jerky movements of the arms, legs, and facial muscles.
What is non-fluent aphasia?
Broca’s aphasia
Severely reduced speech, often limited to short utterances of less than four words. Limited vocabulary. Clumsy formation of sounds. Difficulty writing (but the ability to read and understand speech).
What is multi-infarct dementia
Multi-infarct dementia (MID) is a common cause of memory loss in older people. MID is caused by multiple strokes (disruption of blood flow to the brain) which lead to damaged brain tissue
Vasculitis dementia (Vascular) Symptoms
problems with reasoning, planning, judgment, memory and other thought processes caused by brain damage from impaired blood flow to your brain.