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
involuntary, sudden movement or convulsion muscular contraction
Spasm
spasmodic, muscular contraction usually of the face, neck or shoulder muscles that may be
involuntary or result of habit
Tic
a quivering; involuntary movement of a part of the body resulting form alternate
contractions of opposing muscles
Tremor
oscillations are relatively slow (6-7 per sec)
coarse tremors
rapid tremors; char by oscillations 8-10 times per sec
fine tremors
quick, spasmodic contraction of a muscle
Twitching
paroxysms of involuntary muscular contractions and relaxations
Convulsion
having intermittent contraction, muscles being
alternatively contracted and relaxed
clonic movement/convulsion
one in which the contractions are maintained for a time which usually
draw joint into the position of flexion for a time which usually draw joint into position of
flexion
tonic convulsion
involuntary, spasmodic, purposeless movement, usually involving the extremities and
trunk with facial grimacing
Chorea
quick, jerky and shaking movements
Ballismus
Hemiballismus
violent motor restlessness of half of the body, most marked in the upper
extremities
repeated, involuntary movements of a slow, squirming, writhing, twisting type
Athetosis
involuntary movement of the eyeball
Nystagmus
resistance all throughout the range of motion
Rigidity
resistance at the beginning, then giving in
Spasticity
muscular resistance is characteristically intermittent when the muscle is
palpitated
Cogwheel rigidity
involuntary movement seen when doing something
Rest tremors
impaired of muscle tone
Dystonia
diminished muscle tone
Hypotonia
loss of muscular tonus
Myotonia
twitching or clonic spasm of a muscle or group of muscles
Myoclonus
muscular weakness, softness and flabbiness
Flaccidity
stiffness of the neck
Nuchal rigidity
loss of muscular tonus
Myasthenia
repetitive extention – flexion, movement of ankle muscles
Ankle clonus
temporary suspension or permanent loss of voluntary motion and sensation in a body
part
Paralysis
involved part is in state of muscular rigidity or tenseness
Spastic paralysis
involved part is completely relaxed or limp
Flaccid paralysis
paralysis of lower half of the body
Paraphlegia
paralysis of longitudinal half of the hypoglycemi
Hemiphlegia
paralysis of like parts on either side of the body
Diphlegia
paralysis of four extremities; tetraphlegia
Quadriphlegia
paralysis of the eye muscles
Ophthalmophlegia
paralysis of an eyelid
Blepharophlegia
partial, slight or incomplete paralysis
Paresis
dropping of the upper eyelid
Blepharoptosis
involuntary walking backward due to loss of motor control
Opisthoporeia
headache; pain in the head
Cephalgia
absence/ loss of sensation
Anesthesia
absence of pain
Analgesia
painful sensation
Dysesthesia, paralgesia
peculiar sensation of numbness, prickling, tingling
Paresthesia
unusual sensibility to pain/sensory stimuli
Algesia, hyperesthesia
severe, lancilating pain along the course of the nerve
Neuralgia
pain in the ear
Otalgia
a sensation in one limb which is referred to the other one
Allesthesia
tactile sensation remote from point of stimulation
Allochestesia
blunted perception
Bradyesthesia
burning pain that follows injury to peripheral nerve
Causalgia
unilateral headache
Hemicrania
unilateral headache
Myalgia
neuralgia pain in the face
Opsialga
abnormally diminished sensitiveness
Hemianesthesia, hypoesthesia
loss of comprehension of auditory, visual or other sensations
Agnosia
inability to interpret sounds
auditory agnosia
inability to interpret images seen
optic agnosia
inability to distinguish objects by sense of touch
tactile agnosia
the sense by which the form of objects is perceived
Stereognosis
inability to tell which side of the body has been touched
Astereognosis
double vision
Diplopia
loss of vision in one eye
Anopsia
inability to visualize correctly the size and shape of things
Dysmetropsia, Dysmegalopsia
absence of the sense of smell
Anosmia
impairment of the sense of smell
Dysomia
impairment of speech
Dysphasia
pt. is unable to respond words though he knows what he wants to say
motor aphasia
difficulty in articulation
Dysarthria
loss of the ability to understand spoken & written languages
Aphasia
he is unable to comprehend by word or gesture what is said to him
sensory aphasia
difficulty of understanding spoken word
auditory aphasia
inability to name objects
nominal aphasia
inability to attach meaning to words read
visual/optic aphasia
difficulty in expression of ideas
Dyslogia
incoherent speech
Paraphasia
slowness of speech
Bradylalia, bradyphasia, bradylogia
difficulty in speaking due to defect of speech organs
Dysphonia
stammering
Dysphemia
inability to speak due to dysfunction of the larynx
Aphonia
impairment of speech due to defect of speech organs
Dyslalia
pathologic repetitions use of words or phrase
Palilalia, paliphrasia
continued repetition of meaningless word/phrase; repetition of answers which are
not related to successive questions asked
Perseveration
word deafness or word blindness
Aphemesthesia
repetition of the same sound at the beginning of two or more successive words
Alliteration
involuntary, parrot-like repetition of words spoken by others often accompanied by
twitching of muscles
Echolalia
inability to read; word blindness
Dyslexia
inability to express oneself in writing
Agraphia
inability to read; word blindness
Alexia
complete inability to write
Absolute agraphia
inability to write words heard
Acoustic agraphia
inability to express thoughts in writing
Cerebral agraphia
inability to copy words
Optic agraphia