Quick Notes re: neuro dz
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| CP | UMN. Non progressive. Spasticity. Cognitive deficits.
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| Polio | LMN. Asymmetric paralysis mostly affecting legs.
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| Hydrocephalus | UMN. Excess CSF accumulation in ventricles, increases ICP.
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| ALS | UMN/LMN. AKA motorneurone disease. Spasticity, atrophy, dysarthria, difficulty breathing.
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| CVA | UMN. Widely variable symptoms. Broca's and Wernicke's on L (language). Visuospatial on R.
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| GBS | LMN. Acute polyneuropathy. Begins in feet/hands and migrates toward trunk. Cranial nerves may be affected
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| Myasthenia Gravis | LMN. Neuromuscular junction disease. Weakness, but big problem is fatigue. Respiration is large concern; need to frequently reassess respiratory mm.
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| 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.
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| Huntington's | UMN. Degeneration of basal ganglia and cerebral cortex. Chorea, ataxia, cognitive deficits (later)
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| Bell's Palsy | LMN. Temporary unilateral facial paralysis d/t degeneration of facial nerve. Ptosis, miosis, anhidrosis: eyelid drooping, constricted pupil, dry eye/face.
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| MD | LMN. Weakness, muscle wasting, respiratory issues, GOWER's SIGN
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| SMA | LMN. Atrophy/ weakness
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| 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
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