Neurogencic Flashcards

(37 cards)

1
Q

Where are the CNS motor control of the larynx?

A

Motor cortex, primary motor strip, midbrain, brainstem

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2
Q

Preplanning

A

Brocas (vocal response)

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3
Q

Motor planning for voice

A

insula

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4
Q

voice production

A

precentral gyrus

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5
Q

sensory info for vocalizing (motor)

A

Basal Ganglia/thalamus

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6
Q

Basal Ganglia/thalamus

A

sensory info for vocalizing (motor)

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7
Q

precentral gyrus

A

voice production

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8
Q

Insula

A

Motor planning for voice

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9
Q

Brocas

A

vocal response preplanning

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10
Q

Temporal lobes

A

Heschyls gyrus audition

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11
Q

Heschyls gyrus

A

audition in the temporal lobes

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12
Q

What are the centers in the CNS?

A

BBB PP MMIT
Basal ganglia/thalamus, Broca’s area, brainstem, Precentral gyrus, Primary motor strip,Motor cortex midbrain, Insula, Temporal Lobes,

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13
Q

CNs of phonation and voice

A

Glossopharyngeal, Vagus, Spinal Accessory, Hypoglossal

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14
Q

Glossopharyngeal (IX)

A

motor to stylopharyngeus m.

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15
Q

Stylopharyngeus

A

elevates the larynx (IX)

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16
Q

Vagus

A

(X) SLN, RLN: sensory and motor to larynx, motor to the thorax

17
Q

Spinal Accessory

A

(XI) neck accessory m.’s (SCM & trao) levator veli palatine and uvula

18
Q

Hypoglossal

A

(XII) depression/elevation of larynx (via toungue m.’s) neck strap m’s

19
Q

Vagus branches”

A

2 SLN & RLN
SLN: sensory (internal branch) & motor to cricoid thyroid M (external branch)
RLN:
Right: loops behind R carotid & R subclavian
Motor: TA, PCA, LCA, transverse and obliques Left: loops around aortic arch

20
Q

List some Neurogenic eitiology categories

A

Congenital, Lesion/tumor/dz, trauma

21
Q

Lower motor neuron disorders

A

VF paralysis, MG, Guillaine-Barre, Flacccid Dysarthria

22
Q

Upper motor neuron

A

Spastic dysarthria, Hypokinetic Dysarthria (PD), Hyperkinetic dysarthria, ataxic

23
Q

Hyperkinetic dysarthria

A

SD & essential tremor

24
Q

what is the #1 type of hyperkinetic

A

spasmodic dysphonia

25
What are some etiologies for mixed dysarthrias?
ALS, TBI, MS
26
Guillaine -Barre
virus - Tx: plasma filter
27
Spastic dysarthria
Spasticity, hypertonicity, strain/strangle, short phonation time, monopitch
28
Hyperkinetic
Uncontrolled movements, strain/strangle
29
Hypo kinetic dysarthria
(tonic) Rigidity, bradykinesia, limited ROM, resting tremor
30
Ataxic
Tonic- prosodic slowdown, resonance changes, inarticulation, intoxicated
31
Mixed dysarthria
usually flaccid and spastic - ALS (UMN& LMN) MS *mylin sheath degeneration, TBI - variable
32
Bradykinesia
brady -= slow
33
MTD vs. SD
MTD (muscle tension dysphonia) SD (Spasmodic dysphonia) SD is always there- during laughter and yawning even
34
SD types
adductor - sticking- strained/strangled voice abductor - whisper quality Mixed
35
botox -
treatment for SD .5- .1 | 1 or 2 days of breathy period
36
PD is staged by
motor movement | 1-5 severity scale
37
cellerbellar damage
ipsilateral symptoms