neurology

Neurology Suggestion for Post Graduate Exams

Neurology Suggestion for Post Graduate Exams Prepared by Dr. Isha Ali MBBS (Ibrahim Medical College) FCPS Part-1 (Medicine), MD Part-1 (Cardiology, DMC) HMO (DMCH) **** Gait abnormalities?? Circumduction ——- Upper motor neuron lesion Slapping’ due to foot drop ——–Lower motor neuron lesion L5 root or common peroneal nerve Narrow-based, short strides —— Parkinsonism Wide-based, short strides (marche à petits pas, magnetic gait) —-Frontal lobe lesion Wide-based,

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Adson's Sign

What is Adson’s Sign? Significance of Adson’s Sign

Adson’s Sign Adson’s sign is the loss of the radial pulse in arm by rotating head to the ipsilateral side with extended neck following deep inspiration. It is used as a sign of thoracic outlet syndrome (TOS). Thoracic Outlet Syndrome Nerve Root Affected: C8 / T1 Structures Causing Constriction in Thoracic Outlet Syndrom 1. Scalenus Anticus Syndrome 2. Cervical Rib Syndrome 3. Costoclavicular Syndrome 4.

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UMNL paralysis

Hard sign of UMNL include

a)      Hypertonia b)      Superficial reflex lost c)       Brisk knee jerk d)      Babinski’s sign positive Upper motor neuron lesion Davidson 22 page 1162 Inspection Normal (may be wasting in chronic lesions) Tone Increased with clonus Pattern of weakness Preferentially affects extensors in arms, flexors in leg Hemiparesis, paraparesis or tetraparesis Deep tendon reflexes Increased Plantar response Extensor (Babinski sign) So the most probable answer is a)

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