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13 Cards in this Set
- Front
- Back
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pupil sparing 3rd nerve palsy
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ischemic 3rd nerve plays from Diabetes
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where do spinal cord infarctions typically occur
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thoracic cord
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differentiate infarction of the anterior and posterior spinal artery
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anterior - sudden onset UMN weakness or complete paralysis below the level of the lesion, but preserved vibration and proprioception
posterior - sudden onset gait ataxia, but with normal strength, reflexes, and patin and temperature |
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diabeteic amyotrophy
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type 2 diabetic complication from ischemic infarction at the nerve root level of L2-4
proximal thigh pain, proximal muscle weakness, loss of the patellar reflex |
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diabetic peripheral neuropathy
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progressive numbness and tingling in the toes of both feet which slowly progress up the legs, autonomic nerves affected as well - orthostatic hypotension, nausea, diarrhea, erectile dysfunction, loss of ankle jerk reflex
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treatment of peripheral neuropathies
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gabapentin
amitriptyline |
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HIV-associated dementia
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subcortical dementia
features of parkinsonism withdrawn and depressed dementia behavioral changes |
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why should patients suspected of having HIV-dementia always have an MRI and LP
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to rule out infections causing the dementia symptoms
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differentiate toxoplasmosis encephalitis and CNS lymphoma
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lymphoma - slower onset, no fever, more likely single lesion, no response to treatment for toxoplasmosis
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multiple lesions seen in the basal ganglia on MRI in HIV patient
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toxoplasmosis
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HIV patient presents with meningoencephalitis
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crytococcosis
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HIV patient presents with progressive painless spasticity, weakness, loss of sensation in the legs, and bladder dysfunction
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vacuolar myelopathy
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drug-induced myopathy
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antiretroviral zidovudein (AZT)
elevated serum CK |
