Neurogencic

Question 1

Where are the CNS motor control of the larynx?

Answer 1

Motor cortex, primary motor strip, midbrain, brainstem

Question 2

Preplanning

Answer 2

Brocas (vocal response)

Question 3

Motor planning for voice

Answer 3

insula

Question 4

voice production

Answer 4

precentral gyrus

Question 5

sensory info for vocalizing (motor)

Answer 5

Basal Ganglia/thalamus

Question 6

Basal Ganglia/thalamus

Answer 6

sensory info for vocalizing (motor)

Question 7

precentral gyrus

Answer 7

voice production

Question 8

Insula

Answer 8

Motor planning for voice

Question 9

Brocas

Answer 9

vocal response preplanning

Question 10

Temporal lobes

Answer 10

Heschyls gyrus audition

Question 11

Heschyls gyrus

Answer 11

audition in the temporal lobes

Question 12

What are the centers in the CNS?

Answer 12

BBB PP MMIT
Basal ganglia/thalamus, Broca’s area, brainstem, Precentral gyrus, Primary motor strip,Motor cortex midbrain, Insula, Temporal Lobes,

Question 13

CNs of phonation and voice

Answer 13

Glossopharyngeal, Vagus, Spinal Accessory, Hypoglossal

Question 14

Glossopharyngeal (IX)

Answer 14

motor to stylopharyngeus m.

Question 15

Stylopharyngeus

Answer 15

elevates the larynx (IX)

Question 16

Vagus

Answer 16

(X) SLN, RLN: sensory and motor to larynx, motor to the thorax

Question 17

Spinal Accessory

Answer 17

(XI) neck accessory m.’s (SCM & trao) levator veli palatine and uvula

Question 18

Hypoglossal

Answer 18

(XII) depression/elevation of larynx (via toungue m.’s) neck strap m’s

Question 19

Vagus branches”

Answer 19

2 SLN & RLN
SLN: sensory (internal branch) & motor to cricoid thyroid M (external branch)
RLN:
Right: loops behind R carotid & R subclavian
Motor: TA, PCA, LCA, transverse and obliques Left: loops around aortic arch

Question 20

List some Neurogenic eitiology categories

Answer 20

Congenital, Lesion/tumor/dz, trauma

Question 21

Lower motor neuron disorders

Answer 21

VF paralysis, MG, Guillaine-Barre, Flacccid Dysarthria

Question 22

Upper motor neuron

Answer 22

Spastic dysarthria, Hypokinetic Dysarthria (PD), Hyperkinetic dysarthria, ataxic

Question 23

Hyperkinetic dysarthria

Answer 23

SD & essential tremor

Question 24

what is the #1 type of hyperkinetic

Answer 24

spasmodic dysphonia

Question 25

What are some etiologies for mixed dysarthrias?

Answer 25

ALS, TBI, MS

Question 26

Guillaine -Barre

Answer 26

virus - Tx: plasma filter

Question 27

Spastic dysarthria

Answer 27

Spasticity, hypertonicity, strain/strangle, short phonation time, monopitch

Question 28

Hyperkinetic

Answer 28

Uncontrolled movements, strain/strangle

Question 29

Hypo kinetic dysarthria

Answer 29

(tonic) Rigidity, bradykinesia, limited ROM, resting tremor

Question 30

Ataxic

Answer 30

Tonic- prosodic slowdown, resonance changes, inarticulation, intoxicated

Question 31

Mixed dysarthria

Answer 31

usually flaccid and spastic - ALS (UMN& LMN) MS *mylin sheath degeneration, TBI - variable

Question 32

Bradykinesia

Answer 32

brady -= slow

Question 33

MTD vs. SD

Answer 33

MTD (muscle tension dysphonia)
SD (Spasmodic dysphonia)
SD is always there- during laughter and yawning even

Question 34

SD types

Answer 34

adductor - sticking- strained/strangled voice
abductor - whisper quality
Mixed

Question 35

botox -

Answer 35

treatment for SD .5- .1

1 or 2 days of breathy period

Question 36

PD is staged by

Answer 36

motor movement

1-5 severity scale

Question 37

cellerbellar damage

Answer 37

ipsilateral symptoms