Makindo Medical Notes.com |
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Related Subjects: |Neurological History taking |Cortical functions |Motor System |Sensory System |Mental state Examination |Speech and Language Exam |Cranial nerves and examination |Assessing Cognition
Gerstmann's syndrome |
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Alexia, Agraphia, Acalculia |
Unable to differentiate Right and left |
Finger agnosia - cannot name fingers |
Dominant parietal lobe damage |
Sensory exam |
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Inspect |
Cotton wool all dermatomes |
Pin prick all dermatomes |
Proprioception |
Temperature |
Rhomberg's sign |
Lateral medullary syndrome |
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Occlusion of PICA or Vertebral artery |
Ipsilateral numb face, vocal cord paralysis, Horner's syndrome |
Ipsilateral Cerebellar signs and vertigo and hiccups |
Contralateral trunk numbness |
Weber syndrome |
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Anterior midbrain infarction |
Ipsilateral IIIrd nerve palsy |
Contralateral hemiparesis |
Horner's syndrome |
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Unilateral miosis, mild ptosis, enophthalmos, facial anhidrosis, Depigmented blue eye of congenital |
Light reflex intact |
Central - Stroke. MS, Trauma, Syringomyelia |
Peripheral - Pancoast tumour , Neck trauma, Carotid dissection, Left Horner's - thoracic aortic aneurysm |