neuro1 Flashcards
hemorraghic inflammation of temporal lobes causes
elevated erytrhocytes in CSF
elevated protein , normal cell count
albuminocytological dissociation
GBS
increased potein increase erytrhocytes
Traumatic tap
binds to na channel keeping it open and causing persistent d epolarization
ciguatoxin, batrachotoxin
binds to na channels inhibitng na influx and preventing action potential conduction
tetrodotoxin, saxitoxin
quadriparesis; long standing RA
endotracheal intubation worsens subluxation caused by RA; compression of spinal cord
increased muscle rigidity w rhythmic interruptions
cogwheepl rigidity
cardiac embolism stroke vs hypoxic ischemic encephalopathy
cardiac embolism storke would cause multiple infarcts within different major vascular territories
cannot do tandem walk
cerebellar dysfunction
R LGN impairment
contralateral homonymous heminaopsia
damage to supperior colliculs syptosm
upward gaze plasy
absent pupillary light reflex
impaired convergence
parinaud syndroem
beta pleated sheet resistant to proteasese
prion disease
microglial nodules and multinucleated giant cells
hiv assoc encephalotapthy
intranuclear inclusinos within oligoodendcoyrtes
PML
clasp knife spasticity
initial ressitance to passive extesnion followed by sudden release of resistance; seen in UMN lesion
what type of stroke caues clasp knife spatisicty
internal capsule stroke
extracellular fibrillar protein accumulation
amyloid
intracellular edema caused by impaired function of atp dependent sodium ptoassium pumps on neuroenal cell membarnaes
cytoxic edema
extraceullar edema caused by increased vascular permeability due to effects of pro inflammatory cytokines
vasogenic edema
spinal accessory nerve is a pure
motor fiber
motor nerve that passes thorugh posterior triangel of neck to innervate
SCM and trapezius
elevate scapula, rotate upward, stablizie shoulder
impaired abudciton of arm above horizontal
trapezius
drooping of shoulder
weakness of trapezius muscle
cerebellar hemisphers control ___extremities
ipsilateral
dysdiadochokinesia, limb dysmetria, and intention tremor
dys: impaired rapid alternagtive movements;
infraorbiatl nerve is a continuation of
maxillary nerve
runs along orbital surface of maxilla
ipsilaraterla down and out
ipsilateral posteri communicating artery
diabetic opthlamoplegia
down and out position
normal sized reactive pupil (unlike aneuryslmal compression of CN3: dilated pupil; loss of accmodation
ptosis
elevated ICP in absencce of ventricular enlargement on imaging
pseudotumor cerebri
anterior cerebral artery occlusion
contralateral motor and snesory deficits of lower extremities , behjavioral changes, urinary inctonince
why is there a gradual onset of symptoms in subdural hematoma
venous bleeding is relatively slow
granulomatous reaction against parasite within CNS
neurocysticercosis
demylelination of peripheral nerves
charcot marie tooth
feature that only the thoracic and lumbar sections contain
lateral gray matter honrs (intermediolateral cell columns)
cuneate fasciului above
T7
low trunk carries nerves from C8 and T1 that contribute to
median and ulnar nerves taht innervate intrinsic msucles of hand
injury to lower trunk of brachial plexus
Klumpske plasy
sudden upward stretching on arm at shoulder
fallign from tree, but breaking fall by grapping tree branch with right hand
lower trunk of brachial plexus
interscalene nerve block anestehsists brachial plexus as it passes thorugh
scalene triangel; provide anesthesia for shoulder and upper arm
interscalene nerve block causes transient ipsialteral
diaphgrapgmatic paralsysis by anastheseizing roots of phrenic nerve
sensation from anterior 2/3 of tongue
mandibular branch of trigeminal nerve
transmits gustatory sensation from anterior 2/3 of tongue but not painful stimuli
chorda tympani branch
trigeminal nerve exits brainstem at
mid pons at level of middle cerebllar peduncles
located at rostral midbrain at level of superior colliculus and red nucleus
oculomotor nucleus
caudal midbrain, exits dorsal midbrain below inferior colliciulus
trochlear nucleus
pigmented brainstem nucleus located in posterior rostral pons near lateral floor of 4th ventricleq
locus ceruleus
proudces NE
basal nucelus of meynert produces
ach
first line treatment for lead poisoning
edetate calcium disodium
first line for iron overdose
deferoxamine
myelin layer vacuolization
combined w degeneration of dorsal columsn and corticospinal tract
vit b12 defiicniecy
abnormal myelin sythesis can be caused by
vit b12 deficinecy
retinal hemorraghes seen in abusive head trauma or vit k defiicient newborn
abusive head trauma
anterior limb of internal capsuel
motor
posteiror limb of internal capsule
sensory
failure of fusion of neural plate edges during 4th week of fetal development
neural tube defect
what controls horizontal eye movement
frontal eye field
deep peronale nerve innervates
anterior comparmtent muscles of leg; which dorsiflex foot and toes
also senstaion to first and second toes
lateral comparmten syndrome on foot
superficial branach of peroneal nerve; impaired foot eversion and sensory loss over lateral shin and dorsum of foot
popliteal fossa vs tarsal tunnel
popiltael fossa: weakness of plantarflexion, inversion, toe flexion
tarsal tunel : sensory loss over sole w intrinsic foot muscle weakness
deficits in 3, 4, 5 (opthalmic, max branches) and 6
infection of medial facie that spread
cavernous sinsu thormobses
sensation to suprapubic and gluteal regions and motor function to anterolateal abdominal wall muscles
iliohypogastric nerve
sensation to upper and miedial thigh and parts of external genitalia
ilioinguinal nerve
sensation to lateral thigh
lateral femoral cuteanoues nreve
acoustic neruoma can also cause what sypmotms
normally hearing loss; vertigo
but also can cause facial sensation loss facial paresis loss: V and VII run in close proxmiiti
pitching : what nerve can be injured
musculocuteanous
from lateral cord of brachial plexus
sensory innervation to lateral forearm
musculocutaneous nerve
flexion of arm at eblow
supination of forearm
musculocutaneous nerve
posterior arm and forearm receive snesory innervation from
raedial nerve
loss of biceps reflex
msuculocuatnoesu nerve