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nervous system diagnostic tests and procedures

Terms

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reflex testing
test preformed to observe the body's response to a stimulus
transcranial sonogram
image made by sending ultrasound beams through the skull to asses blood flow in intracranial vessels; used in diagnosis and management of stroke and head trauma
Intracranial MRA
magnetic resonance image of the head to visualize the vessels of the circle of Willis (common site of cerebral aneurysm, stenosis, or occlusion)
nuclear medicine imaging
radionuclide organ imaging
Babinski sign or reflex
pathological response to stimulation of the plantar surface of the foot; a positive sign is indicated when the toes dorsiflex (curl upward)
SPECT brain scan (single photon emission computed tomography)
scan combining nuclear medicine and computed tomography to produce images of the brain after administration of radioactive isotopes
electroencephalogram (EEG)
record of the minute electrical impulses of the brain, used to identify neurologic conditions that affect brain function and level of consciousness
computed tomography
computed tomographic x-ray images of the head used to visualize abnormalities, such as brain tumors and malformations
radiography
x-ray imaging
deep tendon reflexes (DTR)
involuntary muscle contraction after percussion at a tendon (e.g., patella, Achilles) indicating function; positivefindings are either no refles reponse or an exaggerated response to stimulus; numbers are often used to record reponses: no response 1+ diminished reponse 2+ normal reponse 3+ more brisk than average response 4+ hyperactive response
polysomnography (PSG)
recording of various aspects of sleep (e.g., eye and muscle movements, respiration, and EEG patterns) to diagnose sleep disorders
lumbar puncture (LP)
introduction of a specialized needle into the spine in the lumbar region for diagnostic or therapeutic purpose, such as to obtain cerebrospinal fluid for testing; also called spinal tap
magnetic resonance angiography (MRA)
magnetic resonance imaging of the blood vessels, for detecing pathologic conditions such as thrombosis and atherosclerosis
cerebral angiogram
x-ray of blood vessels in the brain after intracarotid injection of contrast medium
evoked potentials
minute electrical waves that are sorted out of ongoing EEG activity to diagnose auditory, visual, and sensory pathway disorders
magnetic resonance imaging
nonionizing imaging technique using magnetic fields (MRI) and radio frequency waves to visualize anatomic structures (especially soft tissue) such as the tissues of the brain and spinal cord
extracranial MRA
magnetic resonance image of the neck to visualize the carotid artery
positron emisson tomography (PET)
technigue combining nuclear medicine and computed tomography to produce images of brain anatomy and corresponding physiology; used to study stroke, Alzeheimer disease, epilepsy, metabolic brain disorders, chemistry of nerve transmission in the brain, and so on; provides greater accuracy than SPECT but is used less often becaue of cost and limited availability of the radioisotopes
myelogram
x-ray of the spinal cord made after intraspinal injection of contrast medium

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