Escolar Documentos
Profissional Documentos
Cultura Documentos
By KT :))
Overview
Cortex, subcortex, brainstem, cerebella, cranial nerve Spinal cord Motor neuron dz: tongue atrophy, no ocular, no BB Nerve: sensation, reex, pure motor?? NMJ: uctuation muscle: no sensation, normal reex
Exam
25 yo 1 wk 3 PE: bilateral facial palsy, feet and wrist drop, absent DTR
beriberi polymyositis transverse myelitis MG GBS
Dx?
Motor pathway
EXAM
Sensory pathway
Sensory pathway
Exam
65 . Rt internal capsule Lt internal capsule Rt thalamus Lt thalamus
visual pathway
Clue to diagnosis
HOMONYMOUS HEMIANOPIA Optic tract lesion --> incongruous Occipital lobe --> congruous
Clue to diagnosis
HOMONYMOUS QUADRANANOPIA Pie in the sky --> tumor Pie on the oor --> vascular
Exam
36 Dx: acute leukemia s/p chemotherapy . PE: BP 180/100 mmHg with right hemianopia.. what is most likelly dx?
causing posterior white matter edema relative hypertension --> autoregulation failure cause: HT, eclampsia, cytotoxic medications
EXAM
Internuclear ophthalmoplegia
WEBINO
Exam
Syndrome of oculomotor
Exam
Cavernous sinus: II, III, IV, V1, V2 Orbital apex: II, III, IV, VI, V1 Sup orbital ssure: III, IV, VI, V1
Cavernous sinus
Brainstem stroke
Exam
16 PE: impaired vertical gaze, no weakness lm MRI brain: investigation
Exam
Complete cord
Trauma Compression Demyelination Post-infectious
Central cord
syringomyelia tumor hematomyelia demyelination
Hemicord
Ant cord
Ant spinal artery ischemia post surgery cardiac arrest
Vulnerable area: T6
Exam
45 PE: mod pale, no jaundice, CLN -ve, Motor- grade IV/III, decreased propioception both sides Tabes dorsalis syringomyelia metastatic bone disease B12 deciency
Transverse myelopathy
vascular infection autoimmune demyelinating disease Treatment: transverse myelitis--> high dose steroid MS --> pulse methylpred
Exam
44 2 7 2 c-spondylosis amyotrophic lateral sclerosis CIDP syringomyelia
Syringomyelia
Mononeuropathy
carpal tunnel syndrome wrist drop foot drop lateral femoral cutaneous nerve
Exam
lateral cutaneous nerve of thigh common peroneal nerve deep peroneal nerve
Exam
30 yo male, nerve
median nerve radial nerve ulnar nerve posterior interosseous nerve
EXAM
Meralgia paresthetica
Demyelinating dz
CNS PNS
acute ADEM
chronic MS
acute GBS
chronic CIDP
EXAM