Flashcards in General Neurology Deck (19)
If the lesion is above the anterior horn cell (i.e. spinal cord, brain stem, motor cortex). what kind of sign would this give?
upper motor neurone sign
LOWER MOTOR NEURONE SIGN. where is the lesion?
the lesion is either in the anterior horn cell or distal to the anterior horn cell (i.e. anterior horn cell, root, plexus, peripheral nerve)
increased reflexes - upper motor neurone sign or lower?
arreflexia - upper or lower?
increased muscle tone (spasticity), upper or lower?
weakness and wasting (atrophy) in the muscle(s), upper or lower?
muscle wasting ?
this is a lower motor neurone sign
generally flexors weaker than extensors in the legs and the reverse in the arms. what kind of weakness is this known as?
pyramidal pattern of weakness
hyper reflexia, upper or lower ?
upper (respond quickly)
exaggerated law jerk, upper or lower?
fasciculations, u or l?
what is picks disease a form of ?
picks disease characterised by?
personality change and impaired social conduct
inserting inappropriate objects in mouth, disinhibition, increased appetite and perseveration behaviours?
what macroscopic changes would you get in picks disease?
Pick bodies - spherical aggregations of tau protein (silver-staining)
you get Atrophy of the frontal and temporal lobe. What is characteristic of picks
Focal gyral atrophy with a knife-blade appearance
gold standard test for cervical myelopathy ?
An MRI of the cervical spine
treatment for restless leg syndrome ?
ropinorole (Restless leg Ropinorole)