10: Pattern recognition in neurological disease Flashcards Preview

Neurology Week 5 2018/19 > 10: Pattern recognition in neurological disease > Flashcards

Flashcards in 10: Pattern recognition in neurological disease Deck (17)
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1

It is important to ___ the lesion in any patient with a neuro problem.

localise

2

Where can problems be found in neuro disease?

Brain itself

Spinal cord

UMN, LMN if a motor problem

Sensory neurons

NMJ

Muscle itself...

3

Muscle weakness can be either ___ or ___.

focal, generalised

4

Muscle paralysis affecting several or all of the limbs indicate the problem is (focal / generalised).

generalised

5

Which muscles in the head and neck must be affected by a motor problem to call it truly global?

Bulbar muscles

6

The muscle weakness seen in myaesthenia gravis is initially ___ and becomes ___.

focal > generalised

7

update UMN / LMN signs table

8

In UMN diseases, the deep tendon reflexes tend to be brisk.

In which acute situation would they be absent?

Spinal shock

Reflexes temporarily lost below level of injury

9

What are some examples of sensory weakness seen in UMN disease?

-paresis

hemi, quadri...

10

umn vs lmn summary - useful

11

NMJ disease e.g Lambert-Eaton syndrome and myaesthenia gravis present with (motor / sensory) symptoms.

motor symptoms only

12

Which type of stroke causes contralateral leg weakness?

Anterior circulation stroke

13

Which type of stroke causes contralateral arm, head and neck muscle weakness?

Middle cerebral artery stroke

14

Muscle weakness below the level of an injury is characteristic of which location of lesion?

Spinal cord

15

Diseases affecting which location cause purely fatiguable muscle problems?

NMJ

16

integrate dermatomes, myotomes and exams

17