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30 Cards in this Set
- Front
- Back
where do lesions cause unsteady gait (truncal ataxia) and eye movement abnormalities, often accompanied by intense vertigo, nausea, and vomiting
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cerebellar vermis or flocculonodular lobes
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flocculonodular lobes are important in
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vestibulo-oculo control
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intermediate part of cerebellar hemisphere is involved in
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control of appendicular muscles in the arms and legs
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interposed nuclei
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emboliform and globose
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interposed nuclei receive input from
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intermediate part of the cerebellar hemispheres
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fastigial nuclei receive input from
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vermis
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cerebellar lesions cause deficits in coordination _____ to the lesion
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ipsilateral
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lesions of the cerebellar vermis cause _____ deficits of the proximal trunk muscles
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bilateral
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PICA arises from
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vertebral a.
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AICA arises from
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lower basilar a.
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SCA (superior cerebellar artery) arises from
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top of basilar a.
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blood supply to the lateral medulla, most of the inferior half of the cerebellum, and the inferior vermis
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PICA
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blood supply to the inferior lateral pons, middle cerebellar peduncle, middle anterior cerebellum, and flocculus
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AICA
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blood supply to the upper lateral pons, superior cerebellar peduncle, most of the superior half of the cerebellar hemisphere, including the deep cerebellar nuclei, and the superior vermis
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SCA
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patients with cerebellar infarcts typically present w/
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vertigo, nausea and vomiting, horizontal nystagmus, limb ataxia, unsteady gait, and HA (occipital, frontal, or upper cervical)
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why can infarction of the lateral medulla or pons cause ataxia?
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involvement of the cerebellar peduncles
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infarct of what artery would cause ipsilateral ataxia with little or no brainstem signs
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SCA
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infarct of what arteries cause swelling of the cerebellum, which blocks the 4th ventricle and causes hydrocephalus
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PICA or SCA
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"lack of order"
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ataxia
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abnormal timing of movements
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dysrhythmia
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abnormal undershoot or overshoot during movements toward a target
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dysmetria
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lesions of the cerebellar hemispheres or peduncles cause appendicular ataxia _____ to the side of the lesion
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ipsilateral
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lesions of the cerebellar vermis cause _____ ataxia
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truncal (bilateral)
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sensory ataxia results from lesion to
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posterior column-medial lemniscal pathway resulting in loss of joint position sense
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ataxia that is worse when the eyes are closed or in the dark
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sensory
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abnormalities of rapid alternating movements, such as alternately tapping one hand with the palm and dorsum of the other hand
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dysdiadochokinesia
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tremor of the trunk or head
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titubation
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what causes normal suppression of the vestibulo-ocular reflex to be impaired
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lesion to flocculonodular lobe
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what would a lesion to the left superior, middle, or inferior cerebellar peduncle cause
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left appendicular ataxia and truncal ataxia
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what structures pass by the spinal trigeminal nucleus that could explain both sensory loss to the face and ataxia?
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middle and inferior cerebellar peduncles
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