Nerve Pathology Part 2 Flashcards
L5-S1 disc rupture is 86% probable if what 3 S1 signs are found?
- Pain Projection to S1 area
- Pathologic Achilles Reflex
- Sensory Defect in S1 area
What is found with ALL lumbar disc lesions?
Pain Projection into S1 area
L4-L5 disc rupture 87% probably with what 3 L5 signs?
- Extensor hallucis weakness
- Pain Projection into L5 area
- Sensory Defect of L5
What was 100% reliable for L4-L5 herniation?
Extensor Hallicus Weakness
Sensory Defect in L5 Area
What syndromes affect the brachial plexus?
Stinger
Thoracic Outlet Syndrome
Parsonage-Turner Syndrome
What disease has a sudden onset of arm pain and weakness following a lateral flexion injury of neck away from arm?
Burner/Stingers
Burners/Stingers is what type of injury?
Brachial Plexus
How do you evaluate Burner/Stingers?
- Shoulder Abduction, External Rotation and Flexion are weak.
- C-Spine Radiographs
- EMG
What is the path taken by neuromuscular structures from neck to arm?
Outlet
With thoracic outlet syndrome what are the sites of compression?
Cervical Ribs
Costoclavicular Interval
Subcoracoid Loop
When thoracic outlet syndrome is present it most often involves?
Lower Brachial Plexus (C8-T1) with medial arm complaints
What is the specific age associated with brachial neuritis?
20’s-30’s
Brachial Neuritis can be due to recent?
Immunization
Infection
Radiation
Brachial Neuritis can have what type of nerve involvement?
Single or Multiple Peripheral N
With brachial neuritis initially there is no?
Neuro signs
Brachial Neuritis may show what sign?
Fever
How do you categorize diseases?
H: Histology E: Etiology A: Anatomic T: Time P: Presentation
What are some causes of neuropathy?
Idiopathic Metabolic Infectious Vascular Neoplastic Drug-Induced Toxic Hereditary Entrapment
Whats an example of idiopathic neuropathy?
Guillain-Barre
What is an example of metabolic neuropathy?
Diabetes Uremic Liver Disease B12 Hypothyroidism
What are examples of infectious neuropathy?
AIDS
Leprosy
Diphtheria
Sarcoidosis
What are examples of vascular neuropathy?
Polyarteritis Nodosa
RA
SLE
What are examples of neoplastic neuropathy?
Compression
Paraneoplastic
Paraproteinemias
Amyloidosis
What are examples of drug induced neuropathy?
Alcohol
Drugs
What are examples of toxic neuropathy?
Organophosphates
Heavy Metals
Tryptophan
What are examples of hereditary neuropathy?
Idiopathic
Metabolic
Polyneuropathy involves?
Multiple Structures in the body
Mononeuropathy multiplex can cause what?
Lead Toxicity
Multifocal Motor Neuropathy
