Neurology Flashcards Preview

Neurology for Psychiatrists > Neurology > Flashcards

Flashcards in Neurology Deck (25):
1

Pseudobulbar Palsy

Inability to control facial movements. Patients experience difficulty chewing and swallowing, have increased reflexes and spasticity in tongue and the bulbar region, and demonstrate slurred speech, sometimes also demonstrating uncontrolled emotional outbursts.

2

Cataplexy

Sudden loss of muscle tone. Common in Narcolepsy. Can be treated with SNRI, TCA, or GHB (date rape drug).

3

Confabulation

Patients offer implausible explanations in a sincere, forthcoming, and typically jovial manner. Common in Wernicke-Korsakoff, Anton Sydrome, and anosognosia.

4

Huntington's Disease

CAG of the huntington gene. Atrophy of the caudate and putamen

5

Lewy Body Dementia

Lewy bodies made of alpha-synuclein; No tremor, but masked facies, rigidity, bradykinesia; Visual hallucinations. Very sensitive to EPS from antipsychotics

6

Frontotemporal Dementia

Men in the 50s; Autosomal Dominant; Frontal and anterior temporal lobes are atrophic. Parietal is preserved; ACh levels are normal; Plaques and tangles are uncommon.

7

Pick's Disease

Varian ot FTD; Pick Bodies on silver stain

8

Progressive Supranuclear Palsy

Parkinsonism (without tremor); Axial rigidity (straight spine); Cannot look vertically and later to look laterally; Fall going down stairs; Masked face is more of a "startle" look

9

Vascular Dementia

Step-wise deterioration;

10

Normal Pressure Hydrocephalus

CSF can't be reabsorbed.; Dementia, urinary incontinence, and gait apraxia. Treat with shunt and they improve

11

Wernicke-Korsakoff

Ophthalmoplegia, ataxis, and acute confusion; Retrograde and anterograde amnesia; Lack of B1

12

Neurosyphilis

Treponema Pallidum (know what it looks like); RPR and VDRL

13

Subacute Sclerosing Panencephalitis

Measles as a kid; Myoclonus is hallmark; Get CSF measles antibody titer; Cowdry bodies

14

Creutzfeld-Jakob Disease

Dementia and myoclunus; Die in 6 months to a year; Prior protein;

15

Lyme Disease

Can cause dementia; Borrelia burgdorferi;

16

Nonfluent aphasia

Paucity of speech; Lesion in Broca's Area; Likely occlusion of the MCA;

17

Broca's Aphasia (nonfluent)

Can't repeat words but can understand words

18

Global Aphasia

Loss of comprehension and repetition;

19

Wernicke's Aphasia

Loss of comprehension, naming and repetition; Conversation is unintelligible; CVA in temporoparietal region;

20

Conduction Aphasia

Damage to arcuate fasciculus; Fluent and retain comprehension but can't repeat short sentences or phrases.

21

Alexia

Cannot read but can understand speech; Can transcribe another person's dictation but then can't read what they wrote;

22

Apraxia

Inability to execute learned actions despite normal strength, sensation, and coordination;

23

Non-Dominant Hemisphere Syndrome

Ignores left side of their body.

24

Anosognosia

Inability to acknowledge a physical deficit.

25

Aprosody

Inability to recognize emotional aspects of other's speech. Looks like it means to not have these things as well.