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Flashcards in Patterns of neurological disease Deck (11):
1

Pattern of upper motor neurone weakness

Increased tone, brisk reflexes

2

Two types of increased tone

Spasticity and rigidity

3

Difference between spasticity and rigidity

Spasticity is velocity dependent, rigidity is not velocity dependent

4

Pattern of lower motor neurone weakness

Decreased tone, reduced or absent reflxes, fasciculation

5

Pattern of weakness due to muscle disease

Wasting, usually proximal, decreased tone

6

Pattern of weakness due to NMJ pathology

Fatiguable weakness

7

Two typical patterns of peripheral nerve involvement

Symmetrical, often length dependent polyneuropathy with weakness and sensory deficit;
Mononeuropathy or mononeuritis multiplex

8

What do the following patterns of sensory loss suggest about the underlying pathology?
a) glove and stocking
b) sensory level
c) hemianaesthesia
d) dissociated sensory loss

a) length dependent neuropathy
b) spinal cord lesion
c) contralateral cerebral lesion
d) hemicord damage e.g. Brown-Sequard

9

Describe cerebellar gait

Broad-based and unsteady

10

Signs of cerebellar disease (DANISH)

Dysdiadochokinesis
Ataxia
Nystagmus
Intention tremor/past-pointing
Slurred/staccato speech
Hypotonia

11

What does a positive Romberg's test imply?

Sensory ataxia rather than cerebellar