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Nervous System Lesions
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Signs of Nervous System Pathology
Movement disorders
Problems of somatic and special senses
Cognitive difficulties
Others:
Seizures
Headache
Impaired Consciousness
Psychiatric Symptoms
Autonomic and Endocrine Dysfunction
Functions of the cortex
voluntary ideation of movement
Sensation and perception
cognition or higher cortical functions
Sensorimotor deficits manifest on what side?
CONTRALATERAL
T/F: Cognitive deficits have no laterality
True
False
T
Lobe responsible for executive functions or regulation of behavior
frontal lobe
Lobe responsible for auditory processing and memory storage
Temporal lobe
Pertains to the ability of the brain to relearn given time and effort despite injury
neuroplasticity
Maintains and regulates muscle tone at rest and fine tunes voluntary movements
Basal Ganglia
Lesions on the basal ganglia will manifest on what side if unilateral?
CONTRALATERAL
T/F: Relearning is a key component of rehabilitation in basal ganglionic disorders
True
False
F
Functions of Cerebellum
Balance
Coordination
Motor planning
Cerebellar lesions will manifest on what side?
IPSILATERAL
Differentiate: sensation and perception
Sensation is mere stimuli; perception requires cognitive processing
Patterns of injury in the cortex will depend on:
hemisphere affected
lobe affected
Brodmann's area affected
part of homunculus affected
vascular territory affected
function of occipital lobe
visual processing
Memory problems and receptive aphasia could be attributed to a lesion in the _______ lobe.
temporal
Agnosia, apraxia and expressive aphasia could be attributed to a lesion in the _______ lobe.
parietal
Lesion in occipital lobe will lead to
cortical blindness
Lesions of the basal ganglia will result in:
excess involuntary movement
muscle tone dysfunction such as constant fluctuation or rigidity
difficulty initiating and terminating movement
T/F: Basal ganglia relies mainly on neurotransmitters rather than synapses.
True
False
T
Features of Parkinsonism
Bradykinesia
Rigidity
Akinesia
Resting tremors
Stooped posture
Festinating gait
T/F: True coordination can be learned.
True
False
F
A lesion in the cerebellum could lead to the ff:
Ataxia
Dysmetria
Dysdiadochokinesia
Dyssynergia
Rebound phenomenon
Overshooting of agonist and delayed action of antagonist muscle
Rebound phenomenon
Sensory relay center of CNS
Thalamus
Lesions in thalamus will result in derangement of sensation, usually causing _________.
Neuropathic pain
Pain due to damaged neurons
Neuropathic pain
Contains the nuclei for regulation of breathing, heart rate and contractility.
Brainstem
Lesions in the brainstem will manifest in the __________ for the face and __________ for the limbs
IPSILATERAL; CONTRALATERAL
Responsible for overall consciousness, arousal and sleep
Ascending Reticular Activating System
Severe lesion in the Ascending Reticular Activating System can result in __________
decreased sensorium
T/F: Nerve roots on the level of the spinal cord lesion will not be damaged.
True
False
F
Transient loss of all motor and sensory functions below level of the lesion due to acute trauma
Spinal shock
Lesions of peripheral nerve presents with:
denervation atrophy and severe weakness
hyporeflexia
sensory loss
LMNL leads to what type of paralysis?
Flaccid paralysis
UMNL leads to what type of paralysis?
Spastic paralysis
LOCALIZE THE LESION.
Gradual progressive right-sided weakness with mild aphasia
Lesion in Left Cortex - TUMOR
LOCALIZE THE LESION.
Sudden bilateral leg paralysis and anaesthesia
Traumatic spinal cord lesion
LOCALIZE THE LESION.
Headache -> decreased sensorium -> seizures-> death
Generalized brain lesion -> hemorrhage -> meninges irritated -> increased ICP
LOCALIZE THE LESION.
Balance problems with dysmetria
Lesion in cerebellum
LOCALIZE THE LESION.
Involuntary movements since infancy
Basal ganglia lesion - Cerebral Palsy
Neck rigidity and high grade fever with pneumonia
Meningitis from pneumonia
(Note that neck rigidity is a sign of meningitis)
LOCALIZE THE LESION.
Left facial weakness and right body weakness
Left focal lesion in brainstem
LOCALIZE THE LESION.
Incontinence (loss of bladder control) due to sphincter paralysis
Lesion in the lower area of spinal cord
Athetoid movements -> dementia -> death over several years
Huntington's disease
T/F: Anatomic injury is NOT confined to only 1 level
True
False
T
Mainly a problem of speech; comprehension is intact
Expressive aphasia
Region of brain affected in receptive aphasia
Wernicke's Area
Region of brain affected in expressive aphasia
Broca's area
Agnosia and apraxia can be attributed to damage in what hemisphere of the brain?
Right/non-dominant
Motor planning deficit
Apraxia
Author
PTgroup
ID
282200
Card Set
Nervous System Lesions
Description
PPT not used in the lecture
Updated
2014-09-06T13:01:40Z
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