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clinical reflex sign pyramidal ophthalmology cnxii hypoglossal nystagmus ocular syndrome tongue babinski braindead braindeath cn12 differential fasciculations hand hemiballismus lazarus
Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note
Bilateral LMN palsy ... differentiates this from an UMN ... fasciculations #LMN ... CN12 #clinical #video ... #neurology #physicalexam
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 Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Central - Small Lesion ... distribution in lesion ... Ipsilateral weakness (UMN ... spinalcord #syndromes #diagnosis ... #neurology
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
multiple spinal cord regions ... least two or more regions ... Other possible diagnosis ... Lateral #Sclerosis #neurology ... #diagnosis #management
Tongue Fasciculations Secondary to Hypoglossal Nerve Damage Most commonly associated with ALS - This LMN XII was
with ALS - This LMN ... Fasciculations #PhysicalExam ... #Clinical #Video ... #CNXII #CN12 #Neurology
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 Left Tongue Deviation caused by UMN XII palsy Looks can be deceiving. The UMN innervation of most
Lesion - infarction ... Tongue #Deviation #UMN ... palsy #clinical #video ... #hypoglossal #physicalexam ... #neurology
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 Hoffmann's Reflex on Physical Exam The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
#Reflex #Sign #PhysicalExam ... #clinical #neurology ... #UMN #video #Pyramidal
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 Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Space occupying lesions ... Gravis - Lack of UMN ... #Differential #Diagnosis ... #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... the site of a lesion ... : Areflexia UMN ... spinalcord #disorders #diagnosis ... #neurology #differential
Argyll-Robertson Pupil on Physical Exam Small (myotic), irregular pupil that do not react to light but do
It is due lesion ... Robertson #Pupil #PhysicalExam ... #clinical #video ... #neurology #ophthalmology
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 Beevor's Sign on Physical Exam Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
from spinal cord lesions ... Beevors #Sign #PhysicalExam ... #clinical #video ... #umbilicus #neurology
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