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Neuro Diseases
Quick Notes re: neuro dz
| Question | Answer |
|---|---|
| CP | UMN. Non progressive. Spasticity. Cognitive deficits. |
| Polio | LMN. Asymmetric paralysis mostly affecting legs. |
| Hydrocephalus | UMN. Excess CSF accumulation in ventricles, increases ICP. |
| ALS | UMN/LMN. AKA motorneurone disease. Spasticity, atrophy, dysarthria, difficulty breathing. |
| CVA | UMN. Widely variable symptoms. Broca's and Wernicke's on L (language). Visuospatial on R. |
| GBS | LMN. Acute polyneuropathy. Begins in feet/hands and migrates toward trunk. Cranial nerves may be affected |
| Myasthenia Gravis | LMN. Neuromuscular junction disease. Weakness, but big problem is fatigue. Respiration is large concern; need to frequently reassess respiratory mm. |
| MS | UMN. Patches of demyelination within myelin sheaths of CNS neurons. Diplopia is a common initial problem, weakness, fatigue, paresthesia. Typically exacerbations and remissions present. |
| Huntington's | UMN. Degeneration of basal ganglia and cerebral cortex. Chorea, ataxia, cognitive deficits (later) |
| Bell's Palsy | LMN. Temporary unilateral facial paralysis d/t degeneration of facial nerve. Ptosis, miosis, anhidrosis: eyelid drooping, constricted pupil, dry eye/face. |
| MD | LMN. Weakness, muscle wasting, respiratory issues, GOWER's SIGN |
| SMA | LMN. Atrophy/ weakness |
| Parkinson's | UMN: CNS degeneration. Substantia nigra produce insufficient dopamine. Tx with levodopa. See dyskinesia (involuntary writing mvmts), festenating gait, difficulty turning/ sitting, freezing episodes. Helps: metronome, 60 bpm music |