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OPTOM 8040 - Neuro Midterm 1 > Syndromes > Flashcards

Syndromes Flashcards

1
Q

Brown-Séquard Syndrome lesion location

A

Lesion: tumor or lesion to spinal cord

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2
Q

Brown-Sequard Syndrome structures affected

A

Posterior Column, spinothalamic tract, and lateral corticospinal tract

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3
Q

Brown-Sequard Syndrome symptoms

A
  1. ipsilateral loss of 2 pt tactile
  2. contralateral loss of of pain/temp
  3. ipsilateral loss of motor movement of limbs = neuroplagia
  4. sensory dissociation
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4
Q

Syringomyelia lesion location

A

Lesion: Cavitation in the central spinal cord

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5
Q

syringomyelia structures affected

A
  1. anterior while commissure
  2. lateral corticospinal tract (typically upper limbs)
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6
Q

syringomyelia symptoms

A
  1. bilateral loss of pain/temp in body
  2. possible localized loss of strength (hypertonia & hyperreflexia),
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7
Q

Medial medullary syndrome lesion location

A

Lesion: occlusion to anterior spinal or vertebral artery via perforating branches

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8
Q

Medial medullary syndrome structures affected

A
  1. pyramids
  2. medial lemniscus
  3. hypoglossal nuclei
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9
Q

Medial medullary syndrome symptoms

A
  1. contralateral loss of movement of limbs
  2. contralateral loss of 2 pt tactile, vibration, pressure, etc.
  3. ipsilateral weakness of tongue
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10
Q

Lateral Medullary Syndrome (Wallenberg’s Syndrome) lesion location

A

Lesion: occlusion to PCA or vertebral artery

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11
Q

Lateral Medullary Syndrome (Wallenberg’s Syndrome) structures affected

A
  1. inferior cerebellar peduncle
  2. spinal trigeminal tract
  3. spinothalamic tract
  4. solitary tract/nucleus
  5. vestibular nuclei
  6. nucleus ambiguous
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12
Q

Lateral Medullary Syndrome (Wallenberg’s Syndrome) symptoms

A
  1. ipsilateral ataxia
  2. ipsilateral loss of pain/temp to face
  3. contralateral loss of pain/temp to body
  4. ipsilateral loss of taste
  5. vertigo and nystagmus
  6. hoarseness and slurred speech
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13
Q

Medial Pontine Basis lesion location

A

Lesion: occlusion to paramedian branches of basilar artery (dorsal & ventral)

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14
Q

Medial Pontine Basis structures affected

A
  1. facial colliculus
  2. corticospinal & corticobulbar
  3. abducens nucleus
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15
Q

Medial Pontine Basis symptoms

A

1.contralateral weakness of face, arm, leg & dysarthria
2. ipsilateral weakness of face
3. ipsilateral horizontal gaze palsy

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16
Q

Foville’s Syndrome (Medial Pontine basis + Tegmentum)

MAYBE NOT ON TEST

A

Lesion: Medial pontine basis and tegmentum

  • Symptoms:
    o Contralateral weakness: Similar to pure motor hemiparesis.
    o Ipsilateral facial weakness and horizontal gaze palsy: damage to
    the facial colliculus.
17
Q

Lateral Pontine syndrome lesion location

A

Lesion: occlusion to AICA

18
Q

Lateral Pontine syndrome structures affected

A
  1. middle cerebellar peduncle
  2. vestibular nuclei
  3. trigeminal tract/nucleus
  4. spinothalamic tract
  5. descending sympathetic fibers
19
Q

Lateral Pontine syndrome symptoms

A
  1. ipsilateral ataxia
  2. vertigo, nystagmus
  3. ipsilateral loss of pain/temp to face
  4. contralateral loss of pain/temp to body
  5. ipsilateral horner’s syndrome
20
Q

Locked in syndrome lesion location

A

thrombosis in basilar artery

21
Q

Locked in syndrome structures affected

A
  1. spinal trigeminal nucleus
  2. blocked basilar artery
  3. CN IX-XI
  4. midbrain is preserved
22
Q

Locked in syndrome symptoms
(for my pair n share)

A
  1. can’t move body or face
  2. no horizontal eye movement
  3. couldn’t speak
  4. could blink/vertical eye movement
23
Q

Weber’s Syndrome lesion location

A

Lesion: occlusion of paramedian vessel

24
Q

Weber’s Syndrome structures affected

A
  1. corticospinal tract
  2. substantia nigra
  3. oculomotor nerve fascicles
25
Q

Weber’s Syndrome symptoms

A
  1. contralateral loss of body movement
  2. action tremor’s during movement initiation
  3. ipsilateral CN III palsy
26
Q

Claude’s Syndrome lesion location

A

Lesion: occlusion of paramedian vessel

27
Q

Claude’s Syndrome structures affected

A
  1. rubrospinal tract (red nucleus)
  2. cerebellothalamic tract
  3. oculomotor nerve fascicles
28
Q

Claude’s Syndrome symptoms

A
  1. contralateral ataxia
  2. contralateral limb clumsiness
  3. Ipsilateral CN III palsy
29
Q

Benedikt’s Syndrome

A

Combination: Features of both Weber’s and Claude’s syndromes, including all the
symptoms listed above.

OPTOM 8040 - Neuro Midterm 1 (10 decks)

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