10: Pattern recognition in neurological disease Flashcards Preview

Neurology Week 5 2018/19 > 10: Pattern recognition in neurological disease > Flashcards

Flashcards in 10: Pattern recognition in neurological disease Deck (17)
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1
Q

It is important to ___ the lesion in any patient with a neuro problem.

A

localise

2
Q

Where can problems be found in neuro disease?

A

Brain itself

Spinal cord

UMN, LMN if a motor problem

Sensory neurons

NMJ

Muscle itself…

3
Q

Muscle weakness can be either ___ or ___.

A

focal, generalised

4
Q

Muscle paralysis affecting several or all of the limbs indicate the problem is (focal / generalised).

A

generalised

5
Q

Which muscles in the head and neck must be affected by a motor problem to call it truly global?

A

Bulbar muscles

6
Q

The muscle weakness seen in myaesthenia gravis is initially ___ and becomes ___.

A

focal > generalised

7
Q

update UMN / LMN signs table

A
8
Q

In UMN diseases, the deep tendon reflexes tend to be brisk.

In which acute situation would they be absent?

A

Spinal shock

Reflexes temporarily lost below level of injury

9
Q

What are some examples of sensory weakness seen in UMN disease?

A

-paresis

hemi, quadri…

10
Q

umn vs lmn summary - useful

A
11
Q

NMJ disease e.g Lambert-Eaton syndrome and myaesthenia gravis present with (motor / sensory) symptoms.

A

motor symptoms only

12
Q

Which type of stroke causes contralateral leg weakness?

A

Anterior circulation stroke

13
Q

Which type of stroke causes contralateral arm, head and neck muscle weakness?

A

Middle cerebral artery stroke

14
Q

Muscle weakness below the level of an injury is characteristic of which location of lesion?

A

Spinal cord

15
Q

Diseases affecting which location cause purely fatiguable muscle problems?

A

NMJ

16
Q

integrate dermatomes, myotomes and exams

A
17
Q
A