Flashcards in Clinical Anatomy Deck (21)
If there is unilateral lesion on one side of the pontocereblum how does this present?
Unsteady gait and poor coordination
If a lesion occurs on the right side of the cerebellum what side of the body will be affected?
Ipsilateral - same side as the lesion
If there is a bilateral lesion affecting both pontocerebellums how does this present?
Brown Sequared syndrome.
Ipsilateral - Loss of Motor function
Ipsilateral Dorsal - loss of deep touch
Contralateral Spinothalmic - Loss of temperature.
What is the cause of Brown Sequard Syndrome?
A hemisectional lesion or damage - only damages half of the spinal chord.
An upper motor neurone lesion will present with.
A lower motor neurone lesion will present with.
An issue within the CNS presents as
Hemiplegia Paraplegia whole limb affected
Heaviness spasms jerks
Cognitive and sphincter issues
An issue within the PNS presents as
Peripheral or localised area affected
If plexus is affected it can involve the whole limb
Loss of grip
An issue within the NMJ presents as
Ocular Bulbar issues
Proximal limb fatigue
Difficulty swallowing speaking or diplopia
No sensory involvment
An issue within the muscles
No sensory symptoms
"can't get up from my chair"
On exam a CNS lesion presents with
Increased spasticity -
Increased briskness of reflex
Planatr extensor response
Arm extensor weakness
Leg flexor weakness
On exam a PNS lesion presents with
On exam a NMJ lesion presents with
Normal tone and reflexs
List some causes of Central chord syndrome
Arnold chiari malformation
What tracts are affected by central chord syndrome?
What is seen in central chord syndrome?
Pain and temperature lost
Weakness and spasticity in upper limbs
What is syringomelia?
A fluid filled cysts develops longitudinally within your spinal column
What is a common cause of Anterior Chord syndrome?
Infarction of anterior spinal artery
What tracts are affected by anterior chord syndrome?
All of them except the DCML