NEURO PART III/IV HIGH YIELD Flashcards
associated with UMN lesion (post CVA aka stroke)
spastic hemiparesis
drop foot
associated with CMT and ALS
LMN
steppage
seen in MS patients
scissors
seen in Parkinson’s disease
parkinsonian disease
cerebellar tumor, MS or drunk gait
cerebellar ataxia
muscular dystrophy or hip dislocation
lumbar lordosis
myopathic (trendelenberg)
what are the types of motor dysfunction?
sensory neuron lower motor neuron pyramidal tract extrapyramidal tract cerebellar system
syringomyelia
central cord lesion
can distinguish this from glove and stocking peripheral nerve loss by testing with the tuning fork at ischial tuberosity
posterior column
effects posterior column
anterior spinal artery occlusion
dysdiadochokinesia affects?
cerebellar system
this is the hemisection of spinal cord by trauma, tumor, etc…
brown sequard syndrome
this is the most common area affected with root disease? what are the components involved?
lumbosacral radioculopathy
L5 or S1
what dermatomes are mostly affected?
L4, L5, S1
etiology for drop foot
herniation for disc between?
L5 Radiculopathy
L4 and L5, compresses L5 not L4
bilateral problem due to compression of the nerve
spinal stenosis
what are examination of cerebellar function used to test for coordination?
Romberg test tandem walking hop in place rapid rhythmic alternating movements point to point testing intention tremor
if the patient has dysdiadochokinesia, what coordination can they not do?
rapid rhythmic alternating movements
this type of coordination occurs when doing a movement?
seen in cerebellar lesions, also
also, this type of tremor is constantly happening and seen in Parkinson’s disease
intention tremor
resting tremor
this patient stands feet together and eyes closed for 5-10 seconds without support and if they have a problem, they sway one way or another
Romberg test
problems with these are related to cerebellum disease
rapid rhythmic alternating movements
