Neuro Conditions Flashcards
Upper extremity shakes as target is approached, hand may overshoot target
Intention Tremor
Rapid alternating movements
Dysdiadochokinesia
finger-to-nose test
Dysmetria
Uneven phonation (production of vowel sounds) aka scanning or explosive speech
Dysathria
Lateral Hemisphere of cerebellum functions
Planning learned, skillful movements, those that become more precise and rapid with practice
Medial hemisphere of cerebellum functions
Adjusting limb movements
Vermis of cerebellum functions
postural adjustments
Disrupted lateral vestibulospinal tract function
Truncal ataxia
Anterior lobe lesion (alcoholics); cant walk without feet wide apart, staggering walk (even when sober)
Gait ataxia
Nystagmus; back and forth eye movements
Injury to vestibulocerebellum
- Bilateral temporal lobe injury, involves amygdala, parahippocampal gyrus
- Fearless, placid, no emotional reactions, don’t respond to threats from others, don’t flee from threats
- Males become hypersexual, indiscriminate with inanimate objects/different species
- Inordinate attention to all sensory stimuli, sniff and examine everything orally
- May pick up the same object repeatedly as they seem to recognize nothing (Visual Agnosia)
Klüver-Bucy Syndrome
- Degeneration of striatum (caudate > putamen)
- Chorea, rigidity, cognitive disturbances
- Autosomal dominant, Trinucleotide repeat
- Age of onset is variable, most at about 50 years of age
Huntington’s Disease
- Dramatic movement disorder
- Limb movements are flailing, rotatory
- Often affect one side of body, may affect arm and leg to different degrees
- Most often in older patients
- Due to a cerebrovascular accident (CVA, stroke); branch of posterior cerebral artery
Hemiballismus
- Bradykinesia, resting tremor, rigidity
- Age of onset about 60
- Substantia nigra compact part contain Lewy bodies
Parkinson’s Disease
What medication is used to treat Parkinson’s disease and how does it work?
Levodopa
- Precursor for dopamine
- Helpful but response can fluctuate of time and can induce involuntary movement