Neurological Weakness Flashcards

1
Q

Name 6 causes of neurological weakness?

A
Tumour
Stroke
MS
Bell's Palsy
Motorneurone disease
Myasthenia gravis
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2
Q

How does the homunculus relate to neurological weakness?

A

A small issue in the brain by the foot area of the homunculs is not a massive issue compared to a small issure in the head area of the homunculus

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3
Q

Describe the pathway for neurones from the brain to muscle?

A

Upper motor neurone through internal capsule

Lower motorneurone through cranial nerve to reach the muscle

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4
Q

What nerve innervated the face and mouth, so that we can smile?

A

VII - facial

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5
Q

What nerve innervates the jaw so that we can open our mouths?

A

V - trigeminal

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6
Q

What nerve innervated the tongue so that we can stick it out?

A

XII - hypoglassal

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7
Q

What nerve allows us to swallow?

A

X - vagus

IX - glossopharyngeal

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8
Q

Where does tumour, stroke, MS cause problems in the nerve pathway?

A

In the brain / upper motor neurone

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9
Q

Where does Bell’s Palsy cause problems in the nerve pathway?

A

Lower motor neurone

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10
Q

Where does myasthenia gravis cause problems in the nerve pathway?

A

In the muscle

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11
Q

Describe the locations for MG and motorneurone disease?

A

Diffuse and bilateral

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12
Q

How are neurological problems classified?

A
According to their duration:
mins - hours = vascular
days - weeks = infection / inflamation
week - months = tumour
months - yrs = degeneration
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13
Q

Diagnose:

If weakness is in the bottom of face only?

A

Upper motor neurone - Stroke / tumour

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14
Q

Diagnose:

If weakness on whole side of face?

A

Lower motor neurons - Bell’s Palsy

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15
Q

How do we pick up most neurological weaknesses?

A

Looking at the asymmetry

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16
Q

Diagnose:

If weakness is affecting eyes and tongue / speech?

A

MG

17
Q

What is affected facially in motorneurone disease?

A

speech and swallowing , not eyes