Neurology 2 Flashcards
(41 cards)
what is focal neurology?
the effect of the brain injury
what is hemiplaegia?
a complication with the motor cortex
weakness in limbs and face
increased tone and increased reflexes
motor cortex problems may affect what else?
swallowing - dysphagia
speech - dysarthria
what is hyperparasthesia?
excessive physical sensitivity
caused by a problem with the sensory cortex
pain syndromes
what hemisphere of the brain dominates speech?
left
broca/wenickes area
dyspraxia - problems with sequencing may arise from what area of the brain?
frontal lobe
left hemisphere
what is hemianopia?
loss of vision
what is ataxia?
where does it come from?
what can it cause?
loss of co ordination
stems from cerebellum
intention tremor/cerebellar gait
what is the function of the basal ganglia?
what can go wrong with them?
control movement
increased tone
slowness of action - bradkykineasia, tremor
what is a stroke?
disorder of vascular supply to the brain
what are strokes commonly caused by?
infarction - artherosclerosis/cardiac emboli
10 % haemorrhage
types of infarction?
TIA
completed stroke - persisting neurological defecit
what is the main factor for a stroke caused by a bleed?
hypertension
usually more severe
what do clinical features of a stroke depend on?
site of infarction
what are some clinical signs of a stroke?
hemiplegia hemianopia dysarthia/dysphasia dysphagia dyspraxia cognitive impairment confusion/seizure/impaired consciousness
what do you use to diagnose a stroke?
CT
what are the outcomes of a stroke?
33% death
33% significant disability
33% recovery
what kind of surgery can be done on a stroke patient?
carotid endarterectomy
what is the long term treatment for a stokes patient?
antiplatelets/ warfarin if AF/ NOAC
address high bp/cholesterol/smoking/diabetes
types of rehab treatment on offer to strokes patients?
occ therapy physio speech therapy dieticians social workers
what type of nutritional support can stroke patients get?
naso gastric tube
percutaneous endoscopic gastronomy
what is parkinsons disease?
degeneration of dopaminergic neurones in the basal ganglia
underlying cause is unclear
what are some clinical features of parkinsons disease?
bradykinesia - slow movement/initiation/reduced movement range rigigity - increased muscle tone tremor - low frequency slow speech mask like face shuffling gait and falls swallowing problems difficulty with fine motor tasks
what are the medical treatments of parkinsons disease?
surgical treatments?
rehab treatments?
- dopaminergic drugs - direct replacement/agonists
- stereotactic
- physio and occ therapy