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

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

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

4. Anatomy…….

6. ARTERIES

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

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

10. Type of CVA:

12. Space occupying lesions

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

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

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

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

17. CHOICES…..

18. THANK YOU…..