Part II NBS NMS Flashcards
What movement exacerbates radiculopathy (IVF encroachment)
Extension
Lateral Flexion and rotation
ADI instability exacerbated by
Flexion
ADI instability is associated with what condition
RA
Flexion also exacerbates …
OA (uncinate hypertrophy) in lower cervical –> CANAL STENOSIS
Disease of the spinal cord is definition of…
Myelopathy
Myelopathy mainly occur where?
Cervical spine
Cervical = Radiculo & Myelo
Lumbar spine is “married” to
Radiculopathy
Radiculopathy commonly occurs where
C5-T1, L4-S1
Dermatogenous pain is associated with
Radiculopathy
LMNL, Peripheral Nerve Entrapment (PNE), causalgia (burning nerve pain)
Neuropathy
UMNL, Bilateral symptoms, neck flexion
Myelopathy
LMNL, local pain
Radiculopathy, Neuropathy
Cerebellum is responsible for
MOTOR
Speech
Gait
Cerebellum is associated with CHARCOT’S TRIAD, which has symptoms of
SIN (Speech, Intention tremor, Nystagmus)
Cerebellum test
Heel to shin
DIadochokinesia
Finger to nose
Cerebellum disease
Alcoholism
MS
Motor ataxia
Posterior Column responsibility
Sensory
2 point discrimination
Position sense (conscious)
VIBRATION (MAIN)
THE BEST test to test vibration
POST COLUMN test
Posterior Column tests
ROMBERG
2 Pins
128 tuning fork
Toe placement
Disease associated with posterior column
SYPHILIS MS PLS (Primary lateral Sclerosis) DM Sensory ataxia (SLAPPAGE GAIT)
Primary Lateral Sclerosis (PLS) associated with what vitamin deficiency and what condition?
B12
CHRONIC GASTRITIS —> pernicious anemia –> STOCKING AND GLOVE PARESTHESIA
Stocking and glove paresthesia is associated with …
PLS
Corticospinal tract responsibility is
Motor
Voluntary Motor
Corticospinal tract test
Muscle test
Mensuration
DTR
Corticospinal tract disease
UMNL - before anterior cell
LMNL - anterior cell to periphery
SLAPPAGE GAIT is associated with
= Sensory ataxia
Posterior Column Disease
Dorsal Column Cortex helps to discriminate. What are the tests?
Barognosis (weight and size), Stereognosis and Graphognosis (shape)
Lateral Spinothalamic tract disease
Syringomyelia - loss of pain and temp BILATERALLY
Death of muscle …
Fasciculation
Fasciculation in UNML vs LMNL
UMNL - absent
LMNL - present
Superficial reflex in UNML vs LMNL
ABSENT in BOTH
unilateral (LMNL), bilateral (UMNL)
UMNL disease
Pyramidal lesion (motor)
CVA
Tumor
LMNL disease
DISC
PNE
IVF
UNML & LMNL disease
MS
ALS
Motor Neurological Disease (5)
MD (Erb's Duchenne) Myasthenia Gravis ALS Cerebral Palsy Parkinson's
Sex linked in young boy, fatal by 20, difficulty walking, albuminuria, creatinuria, cpk-mm weak muscles, pseudohypertropy
Erb Duchenne
Gower’s sign
Erb Duchenne
LMNL affecting the Myoneural junction (CN MUSCLES), Face, Sshoulder, DESCENDING Paralysis, DIPLOPIA, swallowing, fatigue, masked faces, intermittent (naps, sleep, etc)
Myasthenia Gravis
Face & Intermittent –> think?
Myasthenia
Bulbar palsy is frequently affected in …
ALS
Bulbar palsy - can’t swallow, phonate, breath, chew
Scissors Gait, Athetoid, Chorea
Cerebral palsy
Basal ganglia (Substantia Nigra), Dopamine, extrapyramidal tract (resting tremor), festinating gait, blank stare (masked face), oily, dependent arm
Parkinsons
Paralysis Agitans
Dopamine is precursor for
Epi and NE
Fluid filled cavitation that expands and put pressure on the lateral spinothalamic tract first (sensory) then expands onto other tracts (motor).
Syringomyelia
Syringomyelia usually occurs where?
Cervical spine
Pain ant temperature loss in shawl like distribution is associated with
Syringomyelia
Stocking and gloves paresthesia
PLS –> gastritis - pernicious anemia - B12 deficiency
Demyelination of the cord (plaque form), DIPLOPIA, speech, incontinence, UMNL&LMNL
MS