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Neuro Diseases

Quick Notes re: neuro dz

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
Created by: wooyeah