PBL-2 NEUROSCIENCE Dr. Abdulrahman AL-Shudifat Neurosurgery Dept. Faculty of Medicine University Of Jordan

Case Scinario A 57 year old female patient Complaining of Right sided hemi paresis .Duration .Progression .Distribution .Risk factors .Associated symptoms

Pathophysiology Weakness means loss of power: Neuronal Muscular Functional Paresis Vs Plegia Upper motor neuron Vs Lower motor neuron

Anatomy…….

ARTERIES

Remember… You look for diagnosis!!!!! Diagnosis will lead to…. MANAGEMENT & PROGNOSIS WHAT DO I NEED FOR DIAGNOSIS????

STEPS….. .Knowledge .Clinical history .Clinical examination .Investigation .Diagnosis or Differential diagnosis .Management

Type of CVA:

Space occupying lesions

Clinical History Age Pediatric,Young,Elderly Gender Male,Female Duration Acute,Chronic

Physical Examination General Examination Rule out systemic disease Neurological Examination Rule out other neurological deficits for localization

Investigation Lab test Radiological( X-ray, CT ,MRI ,Angiogram ) Specific neurological Investigations

Management Acute: -Medical -Interventional Chronic: -Multidisplinary team

CHOICES…..

THANK YOU…..