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Questions and Answers
What is the patient's primary complaint in the second case?
What is the patient's primary complaint in the second case?
What is the patient's age in the first case?
What is the patient's age in the first case?
What is the typical location of brain slices during dissection?
What is the typical location of brain slices during dissection?
What is the primary role of the odd number teams in this activity?
What is the primary role of the odd number teams in this activity?
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What does 'R-handed' indicate in the patient descriptions?
What does 'R-handed' indicate in the patient descriptions?
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What is the likely diagnosis for the patient in the first case based on their symptoms?
What is the likely diagnosis for the patient in the first case based on their symptoms?
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What is the clinical term used to describe the patient's experience of 'blank stares' and 'upward rolling of the eyeball'?
What is the clinical term used to describe the patient's experience of 'blank stares' and 'upward rolling of the eyeball'?
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What does 'MMT 5/5' indicate in the context of the patient's physical exam?
What does 'MMT 5/5' indicate in the context of the patient's physical exam?
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Which of the following is NOT a pertinent piece of information gathered during the patient's physical exam?
Which of the following is NOT a pertinent piece of information gathered during the patient's physical exam?
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What is the primary difference between the two cases presented in the information?
What is the primary difference between the two cases presented in the information?
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What is the primary function of Vitamin D in relation to the nervous system?
What is the primary function of Vitamin D in relation to the nervous system?
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Which of the following statements accurately describes the pathogenesis of ADEM?
Which of the following statements accurately describes the pathogenesis of ADEM?
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What is the most common age group affected by ADEM?
What is the most common age group affected by ADEM?
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Which of the following is a characteristic feature of ADEM's histopathology?
Which of the following is a characteristic feature of ADEM's histopathology?
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What is the relationship between Vitamin D deficiency and ADEM?
What is the relationship between Vitamin D deficiency and ADEM?
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How does Vitamin D potentially contribute to the management of ADEM?
How does Vitamin D potentially contribute to the management of ADEM?
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Based on the case information provided, what is the most likely diagnosis for the patient, R.H.?
Based on the case information provided, what is the most likely diagnosis for the patient, R.H.?
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What is the most recent clinical manifestation experienced by the patient, R.H. as indicated in the case?
What is the most recent clinical manifestation experienced by the patient, R.H. as indicated in the case?
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What symptoms can indicate the presence of a cerebral tumor?
What symptoms can indicate the presence of a cerebral tumor?
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How can an MRI with contrast help differentiate between a tumor and a cerebral abscess?
How can an MRI with contrast help differentiate between a tumor and a cerebral abscess?
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Which condition is less likely if a patient presents with seizure activity and no trauma history?
Which condition is less likely if a patient presents with seizure activity and no trauma history?
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What is a key difference between the onset of tumefactive multiple sclerosis (TM) and strokes?
What is a key difference between the onset of tumefactive multiple sclerosis (TM) and strokes?
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Which of the following is NOT typically a symptom associated with strokes?
Which of the following is NOT typically a symptom associated with strokes?
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What does the phenomenon known as 'Dawson's fingers' indicate?
What does the phenomenon known as 'Dawson's fingers' indicate?
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What neurological function is vitamin D known to support?
What neurological function is vitamin D known to support?
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Which type of weakness might a patient experience due to tumors affecting motor cortex?
Which type of weakness might a patient experience due to tumors affecting motor cortex?
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What is the nature of the patient's onset of symptoms?
What is the nature of the patient's onset of symptoms?
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Which of the following symptoms was NOT noted in the patient's examination?
Which of the following symptoms was NOT noted in the patient's examination?
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What is suggested about the nature of the patient's condition?
What is suggested about the nature of the patient's condition?
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Which of the following is true regarding the typical presentation of ADEM compared to the patient's case?
Which of the following is true regarding the typical presentation of ADEM compared to the patient's case?
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What is the significance of the last normal sensory on T6 in the context of the patient's symptoms?
What is the significance of the last normal sensory on T6 in the context of the patient's symptoms?
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What is the patient's chief complaint?
What is the patient's chief complaint?
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Which of the following is a relevant finding in the patient's physical examination?
Which of the following is a relevant finding in the patient's physical examination?
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The corticospinal tract is responsible for which of the following?
The corticospinal tract is responsible for which of the following?
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What is the function of the medial lemniscus pathway?
What is the function of the medial lemniscus pathway?
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What is the significance of tracing the corticospinal and medial lemniscus pathways?
What is the significance of tracing the corticospinal and medial lemniscus pathways?
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Which of the following statements about brain herniation is true?
Which of the following statements about brain herniation is true?
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Which of the following is NOT a characteristic of brain herniation?
Which of the following is NOT a characteristic of brain herniation?
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What is a characteristic feature of Transverse Myelitis?
What is a characteristic feature of Transverse Myelitis?
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Which structure is the largest commissural fiber in the brain?
Which structure is the largest commissural fiber in the brain?
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How does the symptomatology of Transverse Myelitis compare with that of Multiple Sclerosis?
How does the symptomatology of Transverse Myelitis compare with that of Multiple Sclerosis?
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What is a common outcome for symptoms experienced in Transverse Myelitis?
What is a common outcome for symptoms experienced in Transverse Myelitis?
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What is the primary role of the corpus callosum?
What is the primary role of the corpus callosum?
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Which brain structure is considered the most medial part of the temporal lobe?
Which brain structure is considered the most medial part of the temporal lobe?
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What symptoms are indicative of a demyelinating disorder like Multiple Sclerosis?
What symptoms are indicative of a demyelinating disorder like Multiple Sclerosis?
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Which statement about the anterior commissure is true?
Which statement about the anterior commissure is true?
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Flashcards
Rostrocaudal progression
Rostrocaudal progression
The pattern of brain herniation from the front (rostral) to the back (caudal).
Cerebral cortex areas
Cerebral cortex areas
Regions of the brain linked to functions like language and memory that can be affected in conditions like aphasia.
Cranial neuropathies
Cranial neuropathies
Disorders that affect the cranial nerves, showing specific signs and symptoms.
Ruptured aneurysms
Ruptured aneurysms
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Dura mater
Dura mater
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Visual field defects
Visual field defects
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Corticospinal tract
Corticospinal tract
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Medial lemniscus pathway
Medial lemniscus pathway
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Acute Onset
Acute Onset
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Paraparesis
Paraparesis
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Tetraparesis
Tetraparesis
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Oculomotor Dysfunction
Oculomotor Dysfunction
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Monophasic Course
Monophasic Course
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Cerebral tumors
Cerebral tumors
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Cerebral abscess
Cerebral abscess
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Chronic subdural hematoma
Chronic subdural hematoma
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Ischemic stroke
Ischemic stroke
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Hemorrhagic stroke
Hemorrhagic stroke
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BE FAST
BE FAST
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Vitamin D in neurology
Vitamin D in neurology
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Dawson’s fingers
Dawson’s fingers
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Vitamin D's Role
Vitamin D's Role
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Acute Disseminated Encephalomyelitis (ADEM)
Acute Disseminated Encephalomyelitis (ADEM)
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Neurotrophic Factors
Neurotrophic Factors
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Calcium Homeostasis in Neurons
Calcium Homeostasis in Neurons
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Low Vitamin D Levels
Low Vitamin D Levels
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Epidemiology of ADEM
Epidemiology of ADEM
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Histopathology of ADEM
Histopathology of ADEM
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Symptoms of ADEM
Symptoms of ADEM
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Cerebrum Slices
Cerebrum Slices
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Patient L.A.
Patient L.A.
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Seizure Types
Seizure Types
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Neurological Deficits
Neurological Deficits
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Motor Muscle Testing
Motor Muscle Testing
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Patient M.L.
Patient M.L.
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Facial Asymmetry
Facial Asymmetry
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Left-Sided Weakness
Left-Sided Weakness
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Optic Nerve System
Optic Nerve System
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Imaging Analysis
Imaging Analysis
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Transverse Myelitis (TM)
Transverse Myelitis (TM)
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Symptoms of TM
Symptoms of TM
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Monophasic vs. Relapsing
Monophasic vs. Relapsing
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Optic Neuritis
Optic Neuritis
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Corpus Callosum
Corpus Callosum
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Parts of Corpus Callosum
Parts of Corpus Callosum
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Anterior Commissure
Anterior Commissure
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Parahippocampal Gyrus
Parahippocampal Gyrus
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Study Notes
Human Body and Mind: Integration and Control Systems
- Neuro Leap: This is a course in integration and control systems within the human body.
- Learning Objectives: Students are expected to learn about various neurological conditions, including herniation, aphasia, seizures, and dementia, along with cranial neuropathies, ruptured aneurysms, migraines, visual field defects, corticospinal and corticobulbar tracts, and weakness patterns.
- Station 1: Anti-Herniation
- Case Study: A 20-year-old male from Marinduque with a history of tuberculosis and recent seizure, showing decreased consciousness.
- Symptoms: Headaches, sudden decrease in consciousness, decorticate posturing, nonreactive pupils, slow corneal reflexes, and weak gag reflex.
- Tasks: Arrange brain stem slices from most rostral to caudal, photograph, and identify corticospinal tract and medial lemniscus pathways.
- Station 2: Black Box
- Case Study: A 62-year-old female with decreased consciousness, minimal extremity movement, and moans when called.
- Symptoms: Recent onset of decreased consciousness, moans to pain, inconsistent following commands, ptosis (drooping) of both eyes, right-sided facial palsy, sluggish right-sided corneal reflexes, and spontaneous right-sided extremity movement.
- Tasks: Arrange brain stem slices from most rostral to caudal, photograph, and identify corticospinal tract and medial lemniscus pathways.
- Station 3: In Pain in the Membrane
- Case Study: A 22-year-old male patient after a vehicle accident with loss of consciousness, with epistaxis, headaches.
- Symptoms: No eye opening to pain, no verbal output, localizes to pain, pupils 2 mm isocoric, briskly reactive to light, intact dolls, intact corneals, intact gag, and withdrawal to pain, right-sided weakness, and clonus (sustained muscle spasms) on the left side.
- Imaging: Epidural hematoma or hemorrhage.
- Tasks: Use imaging to identify the cause of the patient's neurological deficits and use the relevant rule of 4's.
- Station 4: Malformation
- Case Study: 29-year-old female with no verbal output, history of vomiting, and right-sided weakness.
- Symptoms: No verbal output, follows commands, blood pressure at 120/80, pupils 2 mm isocoric, reactive to light, right shallow nasolabial fold, MMT findings (+), sustained clonus on the right.
- Interpretation: Probable acute intracerebral hemorrhage (ICH) from Middle Cerebral Artery (MCA) rupture, with resulting left-sided hemiparesis and aphasia.
- Station 5: Space Occupying lesions
- Case Study: 59-year-old female with headaches, occasional seizures, and left-sided headache.
- Symptoms: Headache, occasional seizures (blank stares, eye rolling, generalized tonic-clonic seizures), and right-sided weakness.
- Interpretation: Probable space-occupying lesion (SOL) in the left hemisphere, potentially a tumor likely with increased intracranial pressure and irritation of the surrounding tissues.
- Station 6: BE FAST
- Specimen: Coronal sliced cerebrum
- Tasks: Examine imaging and identify arterial territories.
- Station 7: Demyintindihan: OGK
- Specimen: Dissected cerebral white matter, hemisphere with corpus callosum
- Case Study: 46-year-old female with right lower extremity weakness.
- Symptoms: Blurring of vision (right eye) leading to blindness, new ascending numbness and weakness in bilateral lower extremities, and subsequent progressive numbness and right lower extremity weakness.
- Interpretation: Suspected Multiple Sclerosis (MS).
- Station 8: Decuss8
- Specimen: Half brains (hemispheres)
- Case Study: 74-year-old female with left-sided facial drooping.
- Symptoms: Sudden-onset left-sided facial drooping and left-sided weakness following atrial fibrillation.
- Station 9: Time is Brain
- Specimen: Model brain that can be taken apart into 9 pieces.
- Tasks: Identify specific brain structures
- Station 10: Dis/Cord
- Specimen: Uncut brain with spinal cord up to cauda equina.
- Case Study: 48-year-old female with difficulty ambulating and decreased sensation.
- Findings: Flaccid paralysis of right lower extremity, sensory deficit (pain/temperature) on right lower extremity, sensory deficit (proprioception) on left lower extremity. Possible Brown-Séquard lesion (hemisection of spinal cord).
- Vitamin D in Neurology: Vitamin D plays a role in maintaining neuronal health, regulating brain development, and function (antioxidant properties and calcium homeostasis).
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Description
Test your knowledge on clinical neurology through a series of questions based on patient cases. This quiz covers vital aspects including diagnosis, patient symptoms, and clinical terminology related to neurology. Evaluate your understanding of key neurological principles and the assessment of various case scenarios.