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Brainstem, Brain and Spinal Cord Pathology

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Question
Answer
Problems with performing tasks (visuospatial, serial 7's, topographical, recognition)   Parietal lobe lesion (MCA)  
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Problems with executive functioning, abstraction and sequencing (drawing a clockface, 3 stage command) and personality disturbances.   Frontal lobe lesion (ACA, MCA)  
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Non-fluent aphasia. Speech is effortful with pauses, few verbs and only nouns. Problem repeating words but comprehension is intact.   Broca's/expressive aphasia (inferior frontal gyrus)  
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Fluent aphasia with many errors in word use. Impaired reading, writing and repeating of words.   Wernicke's/receptive aphasia (posterior superior and middle temporal gyri)  
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Fluent aphasia with difficulty repeating words. Comprehension is intact.   Conducting aphasia (arcuate fasciculus)  
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Complete loss of language capabilities   Global aphasia (large lesion in left hemisphere)  
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Language production is impaired but there is normal repetition   Transcortical motor aphasia  
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Fluent language production and repetition but impaired comprehension.   Transcortical sensory aphasia  
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Difficulty finding and using words. Language production is fluent and comprehension and repetition preserved.   Anomic aphasia (small lesions in left hemisphere)  
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Hemiballismus   Lesion to subthalamic nuclei or GPe  
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Balance and posture difficulties   Vestibulocerebellar lesion (flocculonodular lobe)  
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Dysmetria (over or under shoot), ataxia, dsynergia   Spinocerebellar lesion  
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Loss of control of ipsilateral mocements   Cerebrocerebellar lesion  
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Ptosis, dilated down and out pupil   Oculomotor nerve palsy (think aneursym of posterior communicating artery)  
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Sensory and contralateral homonymous hemianopia   Posterior cerebral artery occlusion  
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Agnosia - a defect in association   Posterior parietal lobe lesion  
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contralateral hemiparesis   Lenticulostriate artery occlusion (MCA)  
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Contralateral lower limb weakness   Anterior cerebral artery occlusion  
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Lateral Medullary Syndrome of Wallenberg   Occlusion of PICA  
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Ipsilateral loss of CN V, nystagmus (CN VIII), no gag reflex, hoarse voice and dysphagia (nucleus ambiguus), contralateral loss of pain and temp (spinothalamic), ipsilateral ataxia and ipsilateral Horner's syndrome   Loss of posterolateral medulla (PICA occlusion)  
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Ipsilateral deviation of tongue, contralateral limb weakness, contralateral loss of discriminative touch, proprioception and vibration   Loss of medial medulla (ASA occlusion)  
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Bilateral loss of prorioception, ataxic gait, bladder dysfunction and spastic paralysis   Posterior cord syndrome/section - caused by tabes dorsalis, B12 deficiency, diabetes, hypothyroidism and peripheral neuropathy  
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UMN paraplegis, loss of pain and temperature sensation, bladder dysfunction with preserved proprioception and vibration   Anterior cord syndrome - disc prolapse, anterior spinal artery occlusion.  
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Loss of pain and temperature in the shoulders, neck and arms (dorsal horn), atrophy and areflexia of the arm (ventral horn), UMN signs in the lower limb with sacral sparing   Central cord lesion - syringomyelia, cervical spondylosis, intramedullary masss and scoliosis  
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Contralateral loss of pain and temp 2 segments below, ipsilateral spastic paralysis below lesion with preserved ipsilateral proximal movements and flaccid paralysis at lesion. Ipsilateral loss of proprioceptino, vibration and discrim touch   Brown-Sequard Syndrome  
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No cortical silence period   Schizophrenia  
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Disorder of mirror neurons   Autism (theory of mind perspective)  
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No build up of excitatory activity in the SMA and PMA   Parkinson's (no feedback from basal ganglia)  
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Short term memory loss   Mammillary body  
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Long term or episodic memory loss   Hippocampus  
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Overactivity in amygdala and low activity in prefrontal cortex   Predatory behaviour  
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