Mixed dysarthrias

Question 1

Associated degenerative diseases

Answer 1

ALS
MS
Friedrich's ataxia
PSP
MSA

Question 2

ALS associated w/ ______

Answer 2

mixed spastic-flaccid

Question 3

MS associated w/ _______

Answer 3

mixed spastic-ataxic

Question 4

Fridrich’s ataxia associated w/ ______

Answer 4

mixed ataxic-spastic

Question 5

PSP associated w/ _____

Answer 5

mixed hypokinetic/spastic/ataxic

Question 6

PSP

Answer 6

progressive supranuclear palsy
cell loss in numerous areas of the brain
hallmark symptom: can’t track vertically- paralysis of vertical gaze
Can be mistaken for PD

Question 7

MSA associated w/ ___

Answer 7

mixed hypokinetc/hyperkinetic/spastic/ataxic

Question 8

MSA

Answer 8

Multiple systems atrophy
Neurodegenerative
sometimes mistaken for PD

Question 9

Wilson’s disease

Answer 9

• Toxic-metabolic etiology for mixed dys
• inadequate processing of copper
• brown ring around cornea

Question 10

Wilson’s associated w/______

Answer 10

mixed hypokinetic/spastic/ataxic

Question 11

Multiple strokes?

Answer 11

any combination

spastic-ataxic most common

Question 12

Infectious / autoimmune diseases

Answer 12

• PML
• SLE
• meningitis, AIDS, encephalitis, etc.

Question 13

PML

Answer 13

Progressive multifocal leukoencephalopathy

• viral demyelinating CNS disease
• occurs in ppl w/ autoimmune diseases

Question 14

SLE

Answer 14

Systemic Lupus Erythematosus

• autoimmune disease
• usually vascular damage
• effects temporary or permanent

Question 15

Value of identifying a mixed dy?

Answer 15

• localization & diagnosis of neurologic disease
• may contribute to management
• speech disturbances can be first sign