28 Questions
What is a common symptom of trigeminal neuralgia?
Sudden attacks of pain in the face
Which nerves arise from the facial nerve in the facial canal?
None of the above
What physiotherapy procedures are recommended for treating trigeminal neuralgia?
Acupuncture
How is neuralgia of the pterygopalatine node typically treated?
Antineuralgic agents
What is the most common symptom of Parkinson's disease related to muscle?
Muscle stiffness
Which type of sensitivity includes musculo-articular feeling, vibration, and weight pressure?
Musculo-articular feeling, vibration, weight pressure
In multiple sclerosis, which part of the nervous system is primarily affected?
Myelin sheath
What are the symptoms associated with Claude-Berner-Horner syndrome?
Narrowing of the palpebral fissure, enophthalmos, miosis
Which branch of the trigeminal nerve innervates the hard palate and maxillary teeth?
Nerve of the maxilla
Which virus causes postherpetic trigeminal neuralgia?
Varicella-zoster virus
Where is the reticular formation located?
In subcortical nuclei
Where do surface sensitivity conductors cross?
In the anterior horns of the spinal cord
Where are the bodies of 2 neurons of the motor pathway located?
In the anterior horns of the spinal cord
In what muscle does paralysis occur when the musculocutaneous nerve is damaged?
In the deltoid
Where are the sensory cells of the facial nerve located?
In the canal of the facial nerve in the ganglion genikuli
Where is the body of the 1st neuron of the motor pathway?
In the anterior central gyrus
What are the symptoms of bulbar palsy?
Aphonia, paresis of mimic muscles
When is an increase in tendon reflexes noted?
Arches in the defeat of the pyramidal path
Where is the nucleus of the facial nerve located?
In the medulla oblongata
Where does the arc of the cremaster reflex close?
At the level L1-L2
Where does the arc of the knee jerk close?
At the level L2-L4
Where is myelin produced in the central nervous system?
+Oligodendrocytes
What type of sensitivity disorders are present with the defeat of the posterior horns of the spinal cord?
Conductive sensitivity disorders
When segments of the spinal cord are affected at the level of C4-C5, which syndrome appears?
Klodt-Bernard-Gorner Syndrome
What is a characteristic symptom associated with the defeat of the upper cervical part of the spinal cord?
Spastic tetraplegia
What symptom is observed with the defeat of half transversal of the spinal cord at the thoracic level?
Central paresis of left lower limb
What characterizes the syndrome of Brown-Sequard?
Central paresis and loss of deep sensitivity profound on the affected side
What symptom is not associated with the defeat of the posterior horns of the spinal cord?
Spastic tetraplegia
Study Notes
Cerebral Stroke Therapy
- Undifferentiated therapy of cerebral stroke involves the use of antihypertensives and diuretics, aminocaproic acid, heparin, and low molecular weight dextran
- Other treatment options include blood volume expansion and osmotherapy
Bulbar Palsy Symptoms
- Aphonia, dysphagia, dysarthria, muscle atrophy, and absence of the pharyngeal reflex
- Paresis of the muscles of the tongue, ptosis, and dysphagia
- Aphonia, paresis of mimic muscles
Tendon Reflexes
- Increase in tendon reflexes is noted in cases of pyramidal pathway damage
- Damage to the anterior horns of the spinal cord can also cause an increase in tendon reflexes
- Myelitis is an inflammatory disease that affects the spinal cord
Nucleus of the Facial Nerve
- Located in the medulla oblongata
- Responsible for controlling facial expressions
Reflex Arcs
- The cremaster reflex arc closes at the level of L2
- The knee jerk reflex arc closes at the level of L2-L4
Trigeminal Neuralgia
- Characterized by sudden attacks of pain in the face
- Pain is often observed at night and is not associated with chewing or talking
- Symptoms include paroxysmal pain, extremely intense pain, and shooting pain
Physiotherapy Procedures
- Treatment of trigeminal neuralgia involves the use of acupuncture, electrophoresis, and phonophoresis
- Antineuralgic agents and B group vitamins are also used to treat neuralgia
Meningitis
- Divided into acute, subacute, chronic, toxic, and fulminant forms
- Clinical signs include headaches and dizziness, paresthesia in one half of the body, and weakness of the limbs
Parkinson's Disease
- Characterized by muscle stiffness, muscle weakness, muscle atony, and incoordination
- The most common symptom is muscle stiffness
Multiple Sclerosis
- Affects the myelin sheath in the central nervous system
- Symptoms include muscle weakness, muscle stiffness, and sensitivity disorders
Claude-Bernard-Horner Syndrome
- Characterized by narrowing of the palpebral fissure, enophthalmos, and miosis
- May also cause divergent strabismus, ptosis, and mydriasis
Test your knowledge on Trigeminal Neuralgia symptoms and treatment. Questions cover sudden attacks of face pain, facial nerve origins, and physiotherapy procedures for relief.
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