Sensory Disturbance: Pain and Temperature

May 3, 2021 by in NEUROLOGY Comments Off on Sensory Disturbance: Pain and Temperature

Temperature and pain sensations are conveyed via small myelinated and unmyelinated nerve fibers. These enter the spinal cord via the dorsal spinal root and synapse in the dorsal horn at…

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Fasciculations

May 3, 2021 by in NEUROLOGY Comments Off on Fasciculations

Fasciculations are caused by spontaneous depolarization of lower motor neurons, which results in contraction of the muscle fibers in the associated motor unit. Clinically this manifests as a visible twitch…

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Unilateral Foot Drop

May 3, 2021 by in NEUROLOGY Comments Off on Unilateral Foot Drop

Unilateral foot drop is a common complaint. Careful examination of the anatomical pattern of the weakness helps identify the most likely location of the causative lesion. In some cases, clinical…

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Knee Extension Weakness

May 3, 2021 by in NEUROLOGY Comments Off on Knee Extension Weakness

The quadriceps muscles in the anterior thigh extend the knee and are innervated by the femoral nerve, which arises from the lumbar plexus. The L2, L3, and L4 nerve roots…

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Unilateral Hand Numbness

May 3, 2021 by in NEUROLOGY Comments Off on Unilateral Hand Numbness

Unilateral hand numbness is a common complaint with multiple potential causes. Careful examination of the anatomical pattern of the numbness helps identify the most likely location of the causative lesion….

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Unilateral Hand Weakness

May 3, 2021 by in NEUROLOGY Comments Off on Unilateral Hand Weakness

Careful examination of the anatomical pattern of unilateral hand weakness helps identify the most likely location of the causative lesion. In some cases, clinical weakness is subtle and the pattern…

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Wrist Drop

May 3, 2021 by in NEUROLOGY Comments Off on Wrist Drop

Wrist drop refers to an impairment in hand extension at the wrist. There is usually concurrent finger extension weakness (“finger drop”). The most common localizations are peripheral processes, such as…

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Proximal Weakness

May 3, 2021 by in NEUROLOGY Comments Off on Proximal Weakness

Symmetric proximal weakness is most commonly associated with primary muscle disease (myopathy). However, diseases of the neuromuscular junction, neuropathies, spinal cord disease, and very rarely cerebral infarction can produce similar…

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Dysarthria

May 3, 2021 by in NEUROLOGY Comments Off on Dysarthria

A. Dysarthria refers to abnormal phonic characteristics of speech production due to impairment of the motor processes of speech. This contrasts with aphasia, in which abnormalities of language underlie impaired…

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Pulsatile Tinnitus

May 3, 2021 by in NEUROLOGY Comments Off on Pulsatile Tinnitus

Pulsatile tinnitus refers to a perception of sound that coincides with the heartbeat. It may arise from a vascular lesion causing disruption of laminar flow, leading to turbulence that produces…

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