I hope you find this file helpful for student preparation for the Neurology Shelf Exam. I apologize for the intermittent beeps during the audio clips.

Slides:

Advertisements

Similar presentations

Functional Areas of Cerebral Cortex 1

Advertisements

Director, Neurology Clerkship Associate Professor of Neurology

Localization in Neurologic Diagnosis Part 1

Cerebral Localisation

Carotid Circulation Major regions supplied Carotid Circulation Major regions supplied Lumen ventricle Optic nerves and retina Cortex and deep white matter.

And Brain Organization

Brain Stem Anterior View Posterior View 3 4 9,10,11 5 Adducent

Principles of Neurological Diagnosis

Clinical assessment Aims (1) Is it a stroke? (2) What part of the brain is affected? (3) What caused this stroke? Is it a haemorrhage or an infarct? Can.

Epilepsy and Seizures Definition of seizures and epilepsy Epidemiology

A 22-year-old woman has noticed blurry vision

Ed Hutchison and Paul Swift

SENSORY LESION By Prof. ASHRAF HUSAIN. Sensory Pathway Lesions.

The Cerebrum (The Cerebral Hemispheres)

Disorders of the Peripheral Nervous System Presented By: Joseph S. Ferezy, D.C.

Nervous System Spinal Cord and Spinal Nerves. Spinal Cord: Cross Section (pg 444 Figure 13.3) Anterior Rootlets Anterior Root Spinal Root Posterior Root.

VENTRICLES & VASCULAR SUPPLY Bernelda Thomas, Nicole Vaughn, & Angelica Wiggins.

Visual field defects.

The Neurological Exam Made Simple

Vascular Supply to the Nervous System. Introduction Blood supplies brain cells with essential nutrients such as glucose and oxygen, and removes CO 2 from.

 Anterior View  Posterior View Adducent 7 & 8 th 12 9,10, Facial colliculus Striae Medullare.

Localization in the Neuraxis

CEREBRAL VASCULAR SUPPLY. General Information Brain receives 20% of the cardiac output. Brain receives 20% of the cardiac output. Major arterial supply.

YNDROMES . Part II.

Understanding sensory-motor integration. ORGANIZATION OF SENSORY SYSTEMS: General perspectives Sensori-motor integration External senses Localize/Detect.

Cortex for Newbies. Neocortex Gyri (plural: singular = gyrus) – convolution or bump – protruding rounded surfaces (folds) Sulci (plural: singular = sulcus)

Christine Brown Keri Light Bonnie McCormick Laura Williams.

The Cranial Nerves 2,3,4,6 By Prof. Saeed Abuel Makarem.

Stroke syndromes of posterior circulations

Sensorimotor System.

Announcement MIDTERM When: 2/ PM Where: 182 Dennison.

Andrew Asimos, MD Localization of CNS Pathology Based on the Physical Exam Andrew Asimos, MD Director of Emergency Stroke Care Carolinas Medical Center.

Posterior Cerebral Artery Symptoms and signs: Postcommunal PCA –Ventrolateral thalamus sensory symptoms, usually paresthesias Motor symptoms include mild.

Stroke and stroke mimics Applied Neuroanatomy. Stroke Infarction 75% –Unknown 50% –Lacunar 25% –Embolic 20% –Atherosclerotic 5% Haemorrhage 25% –ICH 50%

Arterial supply of brain

Vertebral artery: subject to trauma and spondylotic compression. End distribution is that of the PICA Lateral medullary syndrome / Wallenberg.

Cerebral Blood Circulation

The biological basis of memory

Interdisciplinary Program in Neuroscience Eye Movement & Vision Research LAB Hwang, Jae Won Somatosensory Sensation & Motor Functions.

LEFT RIGHT What is the result of this Lesion? Answer:

Kurt Sieloff, MD. Overview  Speech Terminology  Classic Aphasias  Non-classical Aphasias  Cortical Syndromes  Cortical Structures  = Extra important.

NEUROANATOMY REVIEW Khaled Na3im NEUROANATOMY REVIEW BRODMANN’S AREAS By Khaled Na3im.

A cerebral hemisphere is defined as one of the two regions of the brain that are delineated by the body's median plane.

Localising the lesion – where in the nervous system?

Cerebral Cortex 2.

Differential diagnosis for PICA

Perceptual Deficits and visual deficits Janet Ivey Occupational Therapy This is not an Agored Cymru publication. It has been developed by colleagues from.

Cerebral Cortex 4. Visual Association Cortex Higher-Order Visual Processing Dorsal pathways to parieto-occipital association cortex –Where? Ventral pathways.

Cerebral Cortex 3. Visual-spatial Analysis Regions of cerebrum –Parietal association cortex Junction of P,T, and O lobes Most important –Parietal association.

Stroke Stroke or cerebrovascular acciden(CVA) is defined as sudden, focal neurological deficit resulting from ischemia or hemorrhage in the brain Stroke.

DEMO – III (Cerebral Cortex and Basal Nuclei) Ali Jassim Alhashli Year IV – Unit VIII - CNS.

Introduction to Neurology

Blood supply of the Brain

FUNCTIONAL ANATOMY OF THE BRAIN - By Dr. O. C. Ogun Federal Neuropsychiatric Hospital Yaba.

Radiculopathy and Plexopathy Radiculopathy and Plexopathy Dr Massud Wasel M.D D.O. N.D Registered osteopath P.G.C.A.P Fellow of Higher Education Academy.

Cerebral hemisphere Diencephalon Brain stem Spinal cord.

Localization in Neurology Dr. Hana Albulaihe Consultant Neurologist.

Intracerebral Hemorrhage Rupture of vessel wall due to hypertension.

Central visual pathways

CEREBRAL BLOOD CIRCULATION

CEREBRAL BLOOD CIRCULATION

A list of common and interesting stroke symptoms.

Carotid Circulation Major regions supplied Optic nerves and retina

Stroke Syndromes & Eponyms

Spinal Cord and Spinal Nerves

Neurological Exam Duc Tran, M.D. August 2003.

Localization in Neurology

Coordination, sensory and peripheral system

Presentation transcript:

I hope you find this file helpful for student preparation for the Neurology Shelf Exam. I apologize for the intermittent beeps during the audio clips (these will be recorded again soon). Use of the accompanying transcriptions is advisable. Sincerely, Heather Anderson, MD Director, Neurology Clerkship Associate Professor of Neurology

Differential for Weakness -Plexus- Brachial plexus

Differential for Weakness -Plexus- Lumbosacral plexus ns/thumb/7/73/Lumbar_plexus.svg/250px- Lumbar_plexus.svg.png

Differential for Weakness -Peripheral Nerve- Upper extremity –Median nerve –Ulnar nerve –Radial nerve Lower extremity –Peroneal nerve

Differential for Weakness -Neuromuscular Junction- Myasthenia gravis Lambert Eaton

Differential for Weakness -Muscle- Myopathy (inflammatory, endocrine and electrolyte disorders, metabolic myopathies, drugs and toxins, and infections Rhabdomyolysis Neuroleptic malignant syndrome Serotonin syndrome

Sensory Loss Review dermatomal distribution

Sensory Loss Sensory distribution of major peripheral nerves

Deficits/Findings with Frontal Lobe Lesion Contralateral weakness Urinary incontinence w/ bilateral lesions Expressive aphasia Executive dysfunction, personality changes (prefrontal)

Deficits/Findings with Parietal Lobe Lesion Contralateral sensory loss Inferior quadrantanopia Apraxia (dressing, construction, ideomotor) Agnosia, agraphia, acalculia, R-L disorientation (Gerstmann’s syndrome - left parietal lobe) Double simultaneous stimulation (left parietal lobe) Neglect, apraxia, anosagnosia (denial of deficits) (right parietal) Balint’s syndrome (bilateral parietal lobe) –Inability to voluntarily control the gaze (ocular apraxia) –Inability to integrate components of a visual scene (simultanagnosia) –Inability to accurately reach for an object with visual guidance (optic ataxia)

Deficits/Findings with Temporal Lobe Lesion Receptive aphasia (dominant laterosuperior) –Sensory amusia, sensory aprosodia (nondominant laterosuperior) Superior quadrantanopia Kluver-Bucy (bitemporal tip) (hyperorality, hypersexuality, etc) Amnesia (inferomedial aspect – amygdale, hippocampus) Impaired recognition of facial emotional expression (nondominant lateroinferior)

Deficits/Findings with Occipital Lobe Lesion Homonymous hemianopsia Macular sparing – watershed area, supplied by terminal branches of PCA and MCA

Deficits/Findings with Brainstem Lesion Be familiar with Wallenberg syndrome –Lesion of lateral medulla – PICA or vertebral –Loss of pain and temperature on ipsilateral face and contralateral limbs and trunk –Loss of vibration, proprioception, ataxia in ipsilateral limbs –Ipsilateral Horner's syndrome, vertigo, nystagmus, hoarseness, and dysphagia are often present

Visual Field Cuts images_/visual_field_defects.gif