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9 Cards in this Set

  • Front
  • Back

List 9 cardinal symptoms to look for in a nervous system history taking

Headaches


Dizziness


Faints


Fits


Altered sensation


Weakness


Visual disturbance


Hearing problems


Memory and concentration changes

5 features of upper motor neuron lesions


  1. Increased tone
  2. Increased reflexes
  3. Plantars up
  4. Retained muscle bulk
  5. Clonus (inc tone)

3 example conditions that lead to UMN lesions


  1. Stroke
  2. Traumatic brain injury
  3. Cerebral palsy

5 features of lower motor neurone lesions


  1. Decreased tone
  2. Decreased reflexes
  3. Plantars down
  4. Decreased muscle bulk
  5. Fasciculations

3 example conditions that lead to LMNs


  1. Cranial nerve palsy
  2. Cervical or lumbar disc protrusion
  3. Peripheral or cranial nerve entrapment

Disease of this pathway causes upper motor neurone lesions

Pyramidal pathway



Name the components of nerve pathways which, when damaged, produce lower motor neuron lesions



Motor nuclei originating in the anterior horn cell of the spinal cord


Axon projection - peripheral nerve to muscle Synapse - motor endplates

Summarise the course of the pyramidal pathway

Originates in motor cortex


Travels through the internal capsule


Crosses in the medulla "decussation of the pyramids"

State the MRC scale (Medical Research Council) for assessment of muscle power - explain the scoring

0. NO POWER


1. Flicker of contraction


2. Some active movement but cannot overcome gravity


3. Can overcome gravity but NO more


4. Active power against resistance – but not normal


5. Full power (allowing for age)