Facial Weakness: Peripheral vs Central Lesion

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Questions and Answers

What can result in facial weakness or paralysis?

  • A peripheral lesion of CN VII
  • A peripheral lesion of CN VIII
  • A central lesion involving the upper motor neuron system
  • Both a peripheral and central lesion (correct)

Where can a peripheral lesion of CN VII occur?

  • Only in the pons
  • Anywhere from its origin in the pons to its periphery in the face (correct)
  • Only in the face
  • Only in the cortex

How is a central lesion involving the upper motor neuron system different from a peripheral lesion?

  • It affects only the lower portion of the face
  • It paralyzes the entire face on one side
  • It weakens the right lower face but preserves function in the upper face (correct)
  • It weakens the left lower face but preserves function in the upper face

What happens to the upper portion of the face in a central nerve damage to CN VII?

<p>It continues to function fairly well (A)</p> Signup and view all the answers

What effect does peripheral nerve damage to CN VII have on the forehead?

<p>It paralyzes the forehead (C)</p> Signup and view all the answers

How is left hemispheric damage to upper motor neurons different from right hemispheric damage?

<p>It weakens only the lower portion of the face on one side (A)</p> Signup and view all the answers

Which type of muscle tone is rate-dependent, increasing with rapid passive movement and decreasing with slow passive movement?

<p>Spasticity (B)</p> Signup and view all the answers

What is the term for the increased resistance that persists throughout the movement arc, independent of the rate of movement?

<p>Lead-pipe rigidity (A)</p> Signup and view all the answers

Which condition is characterized by loss of muscle tone causing the limb to be loose or floppy?

<p>Flaccidity (A)</p> Signup and view all the answers

What term is used for a superimposed ratchet-like jerkiness during flexion and extension of the wrist or forearm?

<p>Cogwheel rigidity (C)</p> Signup and view all the answers

Sudden changes in tone accompanying passive range of motion include sudden loss of tone that increases the ease of motion, known as:

<p>Mitgehen (A)</p> Signup and view all the answers

Where is the location of lesion associated with disorders of muscle tone such as spasticity, rigidity, and flaccidity?

<p>Motor cortex (D)</p> Signup and view all the answers

What condition is characterized by sudden increase in tone making motion more difficult?

<p>Gegenhalten (B)</p> Signup and view all the answers

Which disease is a common cause of spasticity, rigidity, and flaccidity?

<p>Stroke (B)</p> Signup and view all the answers

What condition causes the affected limbs to be hyperextensible or even flail-like?

<p>Flaccidity (B)</p> Signup and view all the answers

What is the term used for initial hypertonia giving way suddenly as the limb relaxes during rapid passive movement?

<p>Clasp-knife resistance (D)</p> Signup and view all the answers

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