Neuroexamstuff
Terms
undefined, object
copy deck
- 7 parts of neuro exam?
-
1) Mental Satus
2) Cranial Nerves
3) Motor Exam
4) Sensory Exam
5) Coordination
6) Reflexes
7) Gait
Men Can Make Sex Creepy, Rough, & Good - Dominant hemisphere contols?
-
1) speech (aphasia)
2) reading (alexia)
3) writing (agraphia)
4) planning of action (apraxia) - Agraphia, acalculia and finger agnosia caused by?
- Gerstmann's Syndrome (linked to dominant left parietal lobe)
- another name for transverse temporal gyrus?
-
Heschl's gyrus
found in primary auditory cortex - What can't you do in conductive aphasia? Damage where?
-
Repeat
arcuate fasciculus - CN in the medulla?
- IX, X, XI, XII
- CN nerves near pontomedullary jxn?
- VII, VIII
- Midline CNs?
-
II, III, VI, XII
2 x 3 = 6 x 2 = 12 - free floating CN?
- VI
- longest CN
- VI
- smallest CN
- IV
- only CN to come off dorsally?
- IV
- optic neuritis can develope into?
- Marcus Gunn pupil
- Infarction of motor part of CN III caused by?
- diabetes
- parasympathetic problem of CN III caused by?
- tumor compressing CN III - MEDICAL EMERGENCY
- Key warning sign of stroke?
- Hollenhorst plaques
-
Anisocoria is?
Anisocorian w/out motor problems? -
Unequal pupils
MEDICAL EMERGENCY - tumor pushing on CN III - Side by side diplopia involves what CNs?
- CN 3 & 6
- up and down diplopia involves what CNs?
-
CN 4
bad eye higher when head adjusts
"bully is beating you up, and he's on top of you" -
what connects CN 3 & 6?
lesion causes? -
medial longitudinal fasciculus (MLF)
Internuclear ophthalmoplegia (INO) - part of brain and pons that controls lateral gaze?
- parapontine reticular formation (PPRF)
- hyperactive jaw-jerk reflex sign of?
- brainstem lesion
- corneal reflex test CNs?
- CN 5 & 7
- Bell's palsy
-
LMN lesion
weak on opposite side of face (sparing forehead) - Can't open eyelids completely?
-
Lower MN lesion - problem at NM junction
fascial displagia since both CN 7 are effective
try to hold aird in cheeks but cant - Symmetric weakness in face hould make you think?
- NM weakness (ie Myasthenia Gravis)
- Air better than bone
- Sensory hearing loss
- Bone better than air
- Conductive hearing loss
- Uvula points ___ paralyzed side?
- away from
- Tongue points ___ paralyzed side?
- towards
- Upper & Lower MN problem?
- ALS (amyotrophic lateal sclerosis)/ Lou Gehrig disease
- Vertical nystagmus
-
ALWAYS cervical medullary jxn lesion
Rare - Rigidity is linked to disease of ____ ?
- Basal ganglia
- Spastic tone is linked to disease of ____ ?
- Upper motor neuron
- Pronator drift sign of?
- Storke or TIA
- Contralateral homonymous superior quandrantaopsia due to damage of?
- Meyer's loop
- Chorea or Athetoid movements?
- Huntington's dz
-
Decrease in pinprick sensation on one side of face adn the opposite side of body in a lesion of?
Called? -
dorsolateral medulla (ipsilateral to the facial deficit)
Walenberg syndrome -
Weaknes with loss of vibration and proprioception on one side of body and pinprick loss on the other side caused by?
Called? -
hemi-lesion of the spinal cord ipsilateral to the weakness
Brown-Sequard syndrome - Lesion of thalamus or porsterior 1/3 of the posterior limb of internal capsule causes?
- contralateral hemisensory deficit
- signs of UMN lesions?
-
Clasp-knife reflex
Babinski
^ velocity-dependent muscle tone
Clonus - Tinel & Phalen exam for? action?
-
Carpal Tnnel
Tinel = Tap median nerve
"Tinel = Tap"
Phalen = putting hands back-to-back and lifting them upand down - Signs of hysteria (3)?
-
Splitting the forhead - "feel vibration in half of face"
Lasegue's - stretch leg and dorsiflex foot, should cause more pain
Hoover sign - fake attempted leg lift laying supiene - test for neurosyphilis?
- Romberg sign - stand like a soldier at attntion and close eyes, + if fall over
- Steps of MMSE
-
1) Immediate recall
2) Orientation
3) Attention (WORLD backwards or subtract serial 7's from 100)
4) Naming - two common objects in room
5) Repitiion
6) Short term memory
worry if below 26 -
Denial of blindness with what lesion?
Called? -
Bilateral occipital cortex lesions
Anton's syndrome - Muscle tone of demented patients who cannot follow commnads and have frontal lobe damage called?
- Paratonia ("gegenhalten")