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37 Cards in this Set
- Front
- Back
cortical
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aphasia or nondominant hemisphere dysfxn
|
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subcortical
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internal capsule,
BG, thalamic dysfxn |
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brainstem
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CN signs often w/crossed hemiplegia
|
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spinal cord
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face not involved, paralysis on the same side as the lesion
|
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what CN senses Ao blood pressrue
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CN X
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what CN controls swallowing movemnets
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CN XI
|
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Sx of UMN lesions
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1.weakness w/incr tone
2.incr DTR's 3.spasticity 4.Babinski |
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Sx of LMN lesions
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1.weakness w/decr tone
2.decr DTR's 3.atrophy/fasciculations 4.no Babinski |
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UMN signs are seen when what is involved
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-cortex
-brainstem -spinal cord |
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LMN signs are present when what is involved
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nucleus (spinal or cranial)
or more peripherally |
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lesions of rihgt side of cortex result in deficits where?
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left side of body
|
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which CN is helpful at localizing lesions in cortex and brainstem?
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CN 7
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CN 7 is helpful in localizing lesions where?
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in cortex and brainstem
|
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a central CN VII palsy involves what?
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contralateral lower face
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a peripheral CN 7 palsy affects what?
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ipsilateral face
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Bell's palsy is a ________ nerve palsy
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perispheral CN 7 palsy
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speech centers are located where?
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left hemisphere (left cortex)
|
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parietal lobe controls
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-graphesthesia and stereognosis
-visual-spacial and contructional activities |
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graphesthesia and stereognosis controlled by ?
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parietal lobe
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visual pathways are where?
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cortex ("visual pathways are cortical")
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Visual pathways
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-Visual pathways are cortical.
-They run from optic nerve to occipital lobe. -Visual field cuts are contralateral to the lesion (homonymous hemianopsia) |
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where do visual pathways run?
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from optic nerve to occipital lobe
|
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visual field cuts are ____ to the lesion
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contralateral
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homonymous hemianopsia
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visual field cuts are contralateral to lesion
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if damage left hemisphere of brain, where do you see weakness of lower face?
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contralateral (b/c in brain, it's a central nerve palsy)
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ipsilateral CN palsy and contralateral weakness indicates lesion where?
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brainstem
|
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posterior columns (fasiculus gracilis and cuneatus) carry what kind of info?
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vibration and position sense
|
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where do post columns cross?
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medulla (lower brainstem)
|
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spinothalamic tract tramsits what info?
-where cross |
pain and temp
-cross at medulla (lower brainstem) |
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if damage left hemisphere of brain, where do you see weakness of lower face?
|
contralateral (b/c in brain, it's a central nerve palsy)
|
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ipsilateral CN palsy and contralateral weakness indicates lesion where?
|
brainstem
|
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posterior columns (fasiculus gracilis and cuneatus) carry what kind of info?
|
vibration and position sense
|
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where do post columns cross?
|
medulla (lower brainstem)
|
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spinothalamic tract tramsits what info?
-where cross |
pain and temp
-crosses immediately upon entering s.c. |
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Brown-Sequard syndrome
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1. ipsi weakness (corticosp)
2. ipsi position and vibration (post columns) 3. contralateral loss of pain/temp (spinothalamic) |
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1. ipsi weakness
2. ipsi position and vibration 3. contralateral loss of pain/temp |
Brown-Sequard
|
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-what does corticosp tract do?
-where cross? |
-carries motor fibers
-crosses at medulla (lower brainstem) |