Download PDF by Rahman Pourmand: Practicing Neurology: What You Need to Know 2nd Edition

By Rahman Pourmand

ISBN-10: 1588296091

ISBN-13: 9781588296092

ISBN-10: 1597452971

ISBN-13: 9781597452977

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Absence of knee and ankle jerks. Sphincter or sexual dysfunction is usually less severe and occurs later. c. Suspect conus medullaris when the patient presents with bilateral lower extremity weakness, diminished or absent ankle reflexes, symmetrical saddle sensory loss, and early sphincter (bowel, bladder) or sexual dysfunction. 44 Practicing Neurology 14. The differences between upper and lower motor neuron weakness of the face. The upper part of the face (forehead) has bilateral innervation from the corticobulbar tract, whereas the lower face has unilateral innervation from the contralateral corticobulbar tract.

First in slow motion, and then faster. Do one hand at a time. If the patient is able to do the task with normal rate and rhythm—normal. If movements are irregular, disorganized, dysrhythmic, uncoordinated—dysdiadochokinesia. Rebound test. Ask the patient to flex at the elbow and resist you as you try to extend the arm. Place your other hand on the patients shoulder and turn the patient’s head toward the other direction, to shield the patient’s face and eyes. Let the arm go suddenly. Do one side at a time.

This tract connects the skin (conducting pain and temperature) to the cerebral cortex (postcentral gyrus) of the contralateral side by synapsing to the third-order neuron in the ventralis posterolateralis of the thalamus. This tract passes through the posterior limb of the internal capsule. • Dorsal column (lemniscal) tract (ascending). This tract connects the skin, joint, and tendon sensation (proprioception) to the contralateral cerebral cortex (postcentral gyrus). This tract also travels through the posterior limb of the internal capsule and synapses in the ventralis posterolateralis of the thalamus before ending in the cortex.

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Practicing Neurology: What You Need to Know 2nd Edition (Current Clinical Neurology) by Rahman Pourmand


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