Spinal Cord Syndromes Overview

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Questions and Answers

Which is NOT a characteristic of upper motor neuron signs?

  • Increased muscle tone
  • Positive Babinski/Hoffmans
  • Severe atrophy (correct)
  • Increased reflexes

What type of aphasia is characterized by difficulty in producing speech?

  • Broca's aphasia (correct)
  • Anomic aphasia
  • Global aphasia
  • Wernicke's aphasia

Which statement correctly describes agnosia?

  • Inability to produce language
  • Altered awareness and cognition
  • Inability to recognize objects despite normal sensory input (correct)
  • Loss of memory function

Which type of dementia is marked by aggressive symptoms including visual delusions?

<p>Lewy body dementia (B)</p> Signup and view all the answers

Which of the following is a common feature of delirium?

<p>Sudden onset of altered awareness (B)</p> Signup and view all the answers

A patient is unable to recognize faces but can describe them. This condition is known as:

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

What is a key symptom of hemi-neglect syndrome?

<p>Lack of awareness of one side of the body (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of central vestibular dysfunction?

<p>Improvement with visual fixation (B)</p> Signup and view all the answers

Which mechanism is primarily responsible for spinal cord dysfunction?

<p>Disruption of ion channel activity (D)</p> Signup and view all the answers

What imaging technique is best suited for evaluating soft tissue structures in the nervous system?

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

Which signs are most indicative of cranial nerve dysfunction?

<p>Altered taste and smell sensation (D)</p> Signup and view all the answers

In diagnosing a movement system condition, which aspect is least relevant?

<p>Documented family health history (B)</p> Signup and view all the answers

What is a common consequence of peripheral nervous system pathology?

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

What is the primary role of the autonomic nervous system in homeostasis?

<p>Maintaining internal body balance (B)</p> Signup and view all the answers

Which of the following imaging techniques directly assesses the electrical function of the brain?

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

What are characteristic symptoms of basal ganglia pathology?

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

Which symptom is specifically associated with dysfunction of the middle cerebral artery (MCA)?

<p>Paralysis of the contralateral arm and face (A)</p> Signup and view all the answers

What are common signs and symptoms of a posterior cerebral artery (PCA) stroke?

<p>Visual field loss and memory problems (D)</p> Signup and view all the answers

In the context of watershed areas between the ACA and MCA, what is a common clinical feature?

<p>Contralateral leg weakness (D)</p> Signup and view all the answers

Which type of headache is characterized by a unilateral throbbing pain and may include warnings like blurred vision?

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

What symptom would you most likely associate with posterior circulation issues, such as those involving the vertebral or basilar arteries?

<p>Dizziness and vertigo (D)</p> Signup and view all the answers

Which type of headache is often described as a steady and dull pain caused by muscle tension?

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

What is a major sign of increased intracranial pressure that may lead to brain herniation?

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

A patient experiencing double vision and weakness may have an issue with which part of the vascular supply?

<p>Posterior circulation (vertebral and basilar arteries) (D)</p> Signup and view all the answers

What condition often causes a headache that results from underlying issues such as a tumor or high pressure?

<p>Secondary headache (D)</p> Signup and view all the answers

Flashcards

Broca's aphasia

A neurological disorder affecting the ability to speak due to damage to the left frontal lobe, specifically Broca's area. This area is supplied by the superior branch of the left middle cerebral artery (MCA). Individuals with this disorder struggle to form complete sentences, but they can often understand language.

Wernicke's aphasia

A neurological disorder affecting language comprehension due to damage to the left temporal lobe, specifically Wernicke's area. This area is supplied by the inferior branch of the left MCA. People with this disorder can speak fluently, but their words lack meaning. They also struggle to understand spoken or written language.

Agnosia

A neurological disorder characterized by the inability to recognize objects, sounds, or faces, even when sensory processes are intact. It can affect various aspects of sensory perception, such as vision, hearing, or touch.

Prosopagnosia

A neurological disorder characterized by the inability to recognize faces, despite normal visual perception. It is a type of agnosia affecting the ventral stream of the visual system.

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Dementia

A neurocognitive disorder characterized by a progressive decline in cognitive abilities, particularly memory, judgment, and reasoning. It can lead to significant functional impairments in daily activities.

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Delirium

A neurocognitive disorder characterized by a sudden and temporary state of confusion, disorientation, and altered consciousness. It can be caused by various factors, including infections, medication side effects, and underlying medical conditions.

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Hemineglect Syndrome

A neurological disorder characterized by a decreased awareness of one side of the body, typically the left side. It results from damage to the right parietal and frontal lobes, often due to a stroke.

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Anterior Cerebral Artery (ACA) Perfusion

Supplies medial parts of the frontal and parietal lobes, causing behavioral changes and contralateral lower extremity sensation loss.

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Middle Cerebral Artery (MCA) Perfusion

Supplies the lateral parts of the frontal, parietal, and temporal lobes, leading to contralateral arm and face paralysis, speech problems, neglect, and visual field defects.

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Posterior Cerebral Artery (PCA) Perfusion

Supplies the occipital lobe, lower temporal lobe, thalamus, and midbrain, resulting in visual field loss, memory problems, sensory deficits, and face recognition difficulties.

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Watershed Areas

Border zones where the ACA, MCA, and PCA meet, leading to specific deficits depending on the area.

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Posterior Circulation

Includes the vertebral, basilar, PICA, AICA, and SCA arteries, supplying the brainstem and cerebellum, leading to dizziness, vertigo, double vision, weakness, and locked-in syndrome.

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Tension Headache

A steady and dull headache often related to muscle tension in the scalp and neck.

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Migraine Headache

Often unilateral, throbbing pain with potential warning signs like blurred vision, nausea, and light/sound sensitivity.

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Cluster Headache

Pain often localized around the eyes, described as burning.

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Secondary Headache

Headaches caused by underlying issues like tumors or increased pressure.

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Movement System Diagnosis

A comprehensive process that combines information from a neurological examination, patient history, and review of body systems to identify movement system dysfunctions. This involves analyzing movement patterns, identifying potential neurological deficits, and understanding the underlying causes of movement impairments.

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Neural Transmission

The study of how nerve cells (neurons) communicate with each other through electrical and chemical signals. It involves understanding the mechanisms of action potential generation, neurotransmitter release, and signal transduction at synapses.

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Peripheral Nerve Pathology

Examining how nerve damage in the peripheral nervous system affects body functions. It involves analyzing the consequences of nerve injuries, such as weakness, numbness, pain, and loss of reflexes, based on the specific nerve affected.

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Autonomic Nervous System Dysfunction

Analyzing the clinical manifestations of dysfunction in the autonomic nervous system (ANS), which controls involuntary functions like heart rate, blood pressure, and digestion. It involves understanding the impact of ANS disorders on bodily functions, such as sweating, digestion, and cardiovascular regulation.

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Neuroimaging and Examination Techniques

Evaluating the appropriateness of various neurological imaging and examination techniques, like CT, MRI, NCS, EMG, EEG, and Evoked Potentials, to diagnose and monitor neurological conditions based on the specific clinical presentation and suspected pathology.

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Brainstem Pathology

Interpreting the effects of lesions or damage in different regions of the brainstem, including the tectum (involved in sensory processing), tegmentum (involved in motor control and arousal), and basal region (involved in movement and posture), on various neurological functions and clinical presentations.

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Cranial Nerve Dysfunction

Evaluating the signs and symptoms of dysfunction in the twelve cranial nerves, which control functions like vision, hearing, taste, smell, and movement of facial muscles. It involves identifying the specific nerve affected based on the observed deficits.

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Central vs. Peripheral Vestibular Dysfunction

Differentiating between sensory disturbances related to the central nervous system (CNS, e.g., brain and spinal cord) and the peripheral nervous system (PNS, e.g., nerves outside the CNS). This involves recognizing patterns of sensory loss, dizziness, and imbalance that are specific to each system.

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Spinal Cord Dysfunction

Understanding the mechanisms that cause dysfunction in the spinal cord, leading to specific syndromes or neurological impairments. It involves identifying the location of damage and understanding the consequences of spinal cord injury on motor function, sensory perception, and autonomic function.

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Study Notes

Spinal Cord Syndromes

  • Central Cord: Typically affects the cervical spine, often due to trauma. A small lesion may cause loss of pain and temperature sensation at the level of the lesion. A larger lesion results in impaired motor function in the upper limbs.
  • Brown-Sequard: Damage to one half of the spinal cord, causing loss of motor function and sensation on the same side of the body below the lesion, and contralateral loss of pain and temperature.
  • Posterior Cord: Damage to the dorsal column tracts, causing ipsilateral loss of proprioception and light touch, and contralateral loss of pain and temperature.
  • Complete Spinal Cord: Complete severance of the spinal cord, leading to complete motor and sensory loss, and autonomic dysfunction (bowel and bladder).
  • Anterior Cord: Ischemia in the anterior spinal artery, impacting the spinothalamic tracts, causing loss of pain and temperature sensation, and UMN paralysis. LMN and proprioception are preserved

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