terms Flashcards
stroke
Apoplexy
hemorrhage in the brain
Encephalorrhagia
any dysfunction of the brain
Encephalopathy
degenerative process in the brain
Encephalosis
abscess of the brain
Encephalyopysis
inflammation of the brain and spinal cord
Myeloencephalitis
brain injury resulting from violent shaking of the brain due to blow to the
head, fall on the end of the spine
Cerebral Concussion
surgical opening through the cranium
Craniotomy
surgical removal of a part of the skull
Craniectomy
surg. excision of the spinous process and laminate permit surgery on the spinal cord
and its nerve roots
Laminectomy
division of the long tract of the spinal cord referring usually to the antero-lateral
pathways that transmit pain; done to relieve pain.
Chordotomy
consist of fusing together two or more vertebrae with a bone graft
Spinal fusion –
surgical cutting / section of a nerve root
Rhizotomy
destruction of area controlling specific function
Sterotactic surgery
destruction of a well-defined area in the thalamus by freezing technique
Cryothalamectomy
diverting the CSF flow from the lateral ventricle of the
spinal subarachnoid space to the peritoneal cavity
Ventriculoperitoneal Shunt (V-P Shunt)
surg. opening into the lateral ventricles
Ventriculostomy
diverting the CSF flow from the lateral ventricle into the right atrium or superior vena cava
Ventriculoatrial Shunt (V-A shunt)
diminished/low sugar content of the CSF
Hypoglycorrhakia
increased white cells in the CSF
Pleocytosis
yellowish discoloration of the CSF
Xantochromia
awake, quick, clear mentation, normal response to tactile, verbal and painful stimulus
Alert
responds to stimulus, may be aroused quicky but easily falls asleep; may yawn frequently, fall asleep during meal or lengthy conversation
Drowsy
does not react spontaneously to environment, wards off noxious stimulus
Obtunded
does not react spontaneously to environment, wards painful stimuli are necessary to arouse the patient; when stimulate, he moves, but movements are not so purposeful
Stup0rous
no response to any stimulation; movement, except for some reflex muscle contractions, May present with decorticate or decerebrate rigidity
Comatose
a misinterpreted mental impression of an external stimulus
Illusion
state of mental confusion and excitement
Delirium
a sensory phenomenon that may precede convulsion such as flash of light, ringing of bells,
hypomnesia, impaired memory
Aura
state in which the patient mistakes the identity of persona, places, “mixed-up”
Confusion
lack of emotional response
Apathy
having an unusually large head
Macrocephalous
having an unusually small head
Microcephalous
having a head disproportionately short
Bradycephalous
having a skull with a long antero-posterior diameter
Dolichocephalic
subcutaneous swelling containing blood found on the head
Cephalhematoma
protrusion of the brain from the cranial cavity
Cephalocele
due to weakness in dorsiflexing the ankle, the patient-elevates the affected foot higher than normal and the foot tends to point downward
“foot-drop” gait
the patient shows either or both of the ff. abnormalities
1. he cannot accurately place on foot in front of the other and leg movement is jerky and
uncoordinated; tends to fall to one side.
2. he may be unable to stabilize his trunk in the vertical posture so that he tends to jerk
back and forth (titubation)
Cerebellar gait
associated with spastic weakness, movement is slowed & flexion of the knee and hip joint is slowly and imperfectly performed, the affected leg tends to remain adducted, patient has to swing the affected leg around (circumduct) since he cannot flex and elevate it, difficulty in stepping to have to run forward to “catch up” with the center of gravity; affected arm is characteristically held in semiflexion at the elbow and wrist
Spastic gait
staggering gait
Titubation
morbid acceleration of gait
Festination
tendency to push or fall forward in walking
propulsion
walking backward, involuntarily
retropulsion
standing with marked flexion of the spine though without disturbance of nerve,
muscle, or joint function, displayed by hysterical patients
Camptocormia
lying with the body in curved and resting upon the forehead and feet with face
downward.
Emprosthotonus
an arched position of the body with the feet and head on the floor or mattress.
Opisthotonus
titanic spasm in which the body position is arched to one side.
Pleurothotonus
titanic spasm marked by rigidity of the body in a straight line.
Orthotonus
harmonious action of muscle groups in performing complex movements
Coordination
ability to make antagonistic movements, as pronation and supination, in quick
succession
Diadochokinesia
defect in voluntary movements
Apraxia
ability to make rapid alternating movements
Adiadochokinesia/Dysdiachokinesia
muscle incoordination; lack of coordinated movements
lack of coordination between muscle groups, movements are in serial order instead of
being made together
Asynergia
inability to fix the range of a movement; undershoots or overshoots
Dysmetria
tendency to veer to one side of tip of nose or finger when trying to touch it
Pass-pointing
extreme slowness of movement
Bradykinesia
state without reflexes
Areflexia
motor incoordination in walking
Abasia
motor incoordination in standing
Astasia