Neuro - Peripheral Nerve Diseases Flashcards

1
Q

What degenerative diseases affect the peripheral nervous system?

A

neuropathies and myopathies

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2
Q

What metabolic diseases affect the peripheral nervous system?

A

diabetic neuropathies and polymyopathies

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3
Q

What neoplastic diseases affect the peripheral nervous system?

A

nerve sheath tumors

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4
Q

What infectious diseases affect the peripheral nervous system?

A

botulism, tetanus, and toxoplasmosis/neosporosis

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5
Q

What non-infectious diseases affect the peripheral nervous system?

A

myasthenia gravis, coonhound paralysis, brachial plexus neuritis, polymyositis, masseter muscle myositis

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6
Q

What idiopathic diseases affect the peripheral nervous system?

A

laryngeal paralysis, myotonia, neuropathies, motor neuronopathies, scotty cramp, familiar myoclonus of Labrador retreivers, dancing doberman syndrome, and dysatonia

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7
Q

What traumatic diseases affect the peripheral nervous system?

A

brachial plexus avulsion

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8
Q

What toxic diseases affect the peripheral nervous system?

A

tick paralysis and organophosphate toxicity

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9
Q

What vascular diseases affect the peripheral nervous system?

A

aortic thromboembolism

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10
Q

What are the big three diffuse lower motor neuron diseases?

A

botulism, coonhound paralysis (polyradiculoneuritis), and tick paralysis

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11
Q

What does botulism toxin due to the nervous system?

A

It prevents the release of ACH

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12
Q

What cranial nerve signs are associated with Botulism?

A

dysphagia, dysphonia, and megaesophagus

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13
Q

What does the toxin in patients with tick paralysis do to the nervous system?

A

It prevents the release of ACH

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14
Q

Where are the diffuse LMN signs associated with tick paralysis typically seen first?

A

In the pelvic limbs, then they progress to the thoracic limbs

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15
Q

What cranial nerve signs are associated with tick paralysis?

A

The cranial nerves are typically normal but there is occasionally mild facial muscle weakness reported and decreased palpebral

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16
Q

What is Coonhound paralysis (polyradiculoneuritis)?

A

immune mediated, inflammatory disease of the nerve roots (proximal nerves)

17
Q

Where are the diffuse LMN signs associated with Coonhound paralysis initially noted?

A

the pelvic limbs

18
Q

What cranial nerve signs are associated with Coonhound paralysis?

A

The cranial nerves are typically normal but there is occasionally mild facial muscle weakness reported and decreased palpebral

19
Q

What clinical finding distinguishes Coonhound paralysis from tick paralysis and botulism?

A

dogs are often hyperesthetic to minimal stimulation

20
Q

What are the 2 clinical forms of myasthenia gravis?

A

focal and diffuse

21
Q

What disease process is associated with focal myasthenia gravis?

A

megaesophagus

22
Q

What are the 2 clinical causes of myasthenia gravis?

A

congenital vs. acquired

23
Q

What breeds commonly get congenital mysathenia gravis?

A

Jack Russell Terriers, Smooth-coated Fox terrier, Springer Spaniels, and Samoyed breeds

24
Q

Generally, what is myasthenia gravis?

A

grave muscle weakness

25
What clinical signs are associated with myasthenia gravis?
classically exercise induced muscle weakness
26
How do myasthenia gravis patients step and how is their gait?
step distance is short and the gait is progressively stiff and stilted
27
What cranial nerve reflex is decreased in patients with myasthenia gravis?
decreased palpebral reflex
28
How is myasthenia gravis diagnosed?
clinical signs, tensilon response test, AntiACH receptor antibody test, and biopsy of the intercostal muscle
29
What is neuropraxia?
physiologic disruption of function without anatomical damage
30
What is axonotmesis?
anatomical disruption of some axons
31
What is neurotmesis?
complete transection