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Medical Transcription F&P
Chapter 14: Neurology
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05/21/2009

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Term
NERVOUS SYSTEM
Definition
An exceedingly complex arrangement of nerve cells and their fibers that extends through the body and receives, processes, and interprets sensory stimuli; initiates and coordinates voluntary muscular movement; regulates autonomic processes; carries out complex mental functions and operations; and is the seat of mood and emotions.
Term
NEURON
Definition
Nerve cell- consists of a cell body containing a nucleus; one or more dendrites; and an axon.
Term
DENDRITES
Definition
Short treelike process that is the receptive ending of the neuron. Conducts impulses towards the cell body (afferent process).
Term
AXON
Definition
The long process of a nerve fiber that conducts impulses away from the body of the nerve cell (efferent process).
Term
SYNAPSE
Definition
The point of contact between processes of two different cells.
Term
MYELIN
Definition
A thin layer of fatty white material that envelops the axons of some nerve cells.
Term
MYELIN SHEATH
Definition
Serves as an electrical insulator.
Term
WHITE MATTER
Definition
Nerve tissue consisting of many myelinated fibers.
Term
GRAY MATTER
Definition
Tissue consisting chiefly of nerve cell bodies.
Term
CENTRAL NERVOUS SYSTEM (CNS)
Definition
Consists of the brain and spinal cord.
Term
PERIPHERAL NERVOUS SYSTEM (PNS)
Definition
Consists of the peripheral motor and sensory nerves and the autonomic nervous system. It comprises all nerve tissue outside the brain and spinal cord.
Term
CEREBRUM
Definition
Consists of two symmetric hemispheres and concerned with the higher mental processes.
Term
CEREBRAL CORTEX
Definition
The surface of the cerebrum. Consists of gyri and sulci. Fissures divide each hemisphere into 4 lobes.
Term
GYRI
Definition
The convexities (raised areas) of the cerebral cortex.
Term
SULCI
Definition
The grooves between the gyri.
Term
FISSURES
Definition
Grooves deeper than the sulci. In the brain they form the 4 lobes.
Term
FRONTAL LOBE
Definition
The anterior portion of the cerebral hemisphere.
Term
TEMPORAL LOBE
Definition
The lower lateral lobe of the cerebral hemisphere.
Term
PARIETAL LOBE
Definition
The upper, central portion of the cerebral hemisphere. It's between the frontal and occipital lobes and above the temporal lobe.
Term
OCCIPITAL LOBE
Definition
The most posterior portion on the cerebral hemisphere, forming a small part of its dorsolateral surface.
Term
CEREBELLUM
Definition
Lies behind the cerebrum and looks like a smaller version of it. It's principal function is coordination of voluntary motor activity.
Term
VENTRAL SURFACE OF THE BRAIN
Definition
Front portion of the brain composed of the diencephalon (pineal body, thalamus, hypothalamus), mesencephalon (midbrain), pons, and medulla oblongata.
Term
BRAIN STEM
Definition
Made up of the midbrain, pons, and medulla. Connects the brain to the spinal cord.
Term
MENINGES
Definition
Three protective membranes covering the brain and spinal cord.
Term
DURA MATER
Definition
The outer layer of the meninges. It's in contact with the bony interior of the skull and spinal column.
Term
ARACHNOID MEMBRANE
Definition
The middle layer of the meninges.
Term
PIA MATER
Definition
The innermost layer of the meninges. It lies on the surface of the brain and spinal cord.
Term
LATERAL VENTRICLE
Definition
The cavity in each cerebral hemisphere, derived from the cavity of the embryonic tube, containing cerebrospinal fluid and communicating with the third ventricle.
Term
THIRD VENTRICLE
Definition
A vertically disposed, ring-shaped space that contains cerebrospinal fluid and that communicates anteriorly with the lateral ventricles and caudally with the cerebral aqueduct within the diencephalon between the two thalami.
Term
FOURTH VENTRICLE
Definition
A median, horizontally disposed, rhomboid cavity in the hindbrain, between the cerebellum and medulla, containing cerebrospinal fluid.
Term
CEREBROSPINAL FLUID (CSF)
Definition
A watery medium that is both formed and reabsorbed within the skull and serves primarily as a shock absorber. It surrounds the brain and spinal cord in the subarachnoid space and also fills the ventricular system and the hollow central canal of the spinal cord.
Term
TWELVE PAIRS OF CRANIAL NERVES
Definition
Traditionally represented by Roman numerals, these emerge from the ventral surface of the brain and brain stem and serve important sensory and motor functions, chiefly within the head.
Term
SPINAL CORD
Definition
Largely made up of axons of nerve cells, some with cell bodies in the brain and others with cell bodies in the cord itself.
Term
SPINAL NERVES
Definition
Those that originate in the spinal cord and pass between pairs of vertebrae to supply the body with sensation and voluntary motor power. There are 31 sets of spinal nerves, one from each spinal segment.
Term
DORSAL ROOT
Definition
The sensory root of a spinal nerve.
Term
VENTRAL ROOT
Definition
The motor root of a spinal nerve.
Term
GANGLION
Definition
A visible node or swelling on each dorsal root containing cell bodies of sensory nerves.
Term
SEGMENTAL NERVES
Definition
The fused dorsal and ventral roots which pass forward around the body and give off branches to all external surfaces and internal structures, particularly muscles of the trunk and extremities.
Term
MOTOR NERVES
Definition
Send signals to voluntary muscles throughout the body.
Term
SENSORY NERVES
Definition
Carry impulses from sensory structures in the skin that respond to pain, pressure, light touch, hot and cold; from visceral sensors that respond to pressure stretching and pain; and from proprioceptive sensors in voluntary muscles that signal the brain as to their position, tension, and movement.
Term
AUTONOMIC NERVOUS SYSTEM
Definition
A purely motor system concerned with automatic or involuntary activities or processes, such as heart rate and digestion.
Term
SYMPATHETIC NERVOUS SYSTEM
Definition
Concerned with the so-called fight or flight response mediated by epinephrine and norepinephrine.
Term
PARASYMPATHETIC (CRANIOSACRAL) DIVISION
Definition
Provide motor innervation to cranial, thoracic, abdominal, and pelvic viscera, generally of an opposite nature to sympathetic innervation.
Term
ALTERED LEVEL OF CONSCIOUSNESS
Definition
Varying from slight drowsiness or inattentiveness, to confusion and disorientation, to deep coma from which the subject cannot be aroused by any stimulus.
Term
ABSENCE SEIZURE
Definition
Brief loss of attention and perception.
Term
AMNESIA
Definition
Loss of memory, recent, remote, or total.
Term
ANENCEPHALY
Definition
Absence of cerebral hemispheres.
Term
ANESTHESIA
Definition
Total loss of sensation on one or more parts of the body surface.
Term
APHASIA
Definition
Impairment of the ability to communicate through spoken or written language, or to understand spoken or written language, or both.
Term
ATAXIA
Definition
Impairment of complex movements due to loss of proprioceptive impulses from the muscles of the trunk or limbs.
Term
ATHETOSIS
Definition
Slow, writhing, involuntary movements of the face or limbs.
Term
BABINSKI REFLEX
Definition
Consists of dorsiflexion of the great toe and flaring of the other toes in response to stroking the sole of the foot toward the toes; an indication of disease or injury affecting a corticospinal tract. A normal reflex is downgoing, except in newborns and infants, in which the normal Babinski reflex is upgoing.
Term
CAUSALGIA
Definition
Burning or stinging due to irritation or inflammation of nerves.
Term
CHADDOCK REFLEX
Definition
Extension of the great toe elicited by tapping the ankle behind the lateral malleolus, a sign of disease or injury of a corticospinal tract.
Term
CHOREA
Definition
Rapid, jerky, purposeless involuntary movements of one or several muscle groups.
Term
COMPLEX SEIZURE
Definition
Impaired alertness or unconsciousness; sometimes with psychic symptoms or automatisms.
Term
DEEP TENDON REFLEXES
Definition
Also called muscle strength reflexes; occur in response to sudden stretching of a muscle, usually by tapping a tendon with a rubber-headed reflex hammer. Tendon reflexes are tested in several muscles of the upper and lower extremities, with comparison of the two sides.
Term
DEMENTIA
Definition
Deterioration of mental function.
Term
DYSEQUILIBRIUM
Definition
Loss of balance sense; tendency to fall without support.
Term
FLACCIDITY
Definition
Absence of muscle tone and absence of reflexes.
Term
GENERALIZED SEIZURE
Definition
A seizure in which the entire cerebral cortex is involved.
Term
GRAND MAL SEIZURE
Definition
Tonic-clonic seizure.
Term
HEADACHE
Definition
Local or generalized, intermittent or constant; can result from infection, neoplasm, or hemorrhage within the cranium, obstruction to the flow of cerebrospinal fluid, trauma, or migraine.
Term
HYDRANENCEPHALY
Definition
A more severe form of microcephaly, with very little cerebral cortex remaining.
Term
HYPESTHESIA
Definition
Partial loss of sensation on one or more parts of the body surface.
Term
INCOORDINATION
Definition
Jerkiness and awkwardness in activities requiring smooth coordination of several muscles.
Term
INTENTION TREMOR
Definition
Tremor occurring only during voluntary movement.
Term
MICROCEPHALY
Definition
Abnormally small, maldeveloped cerebral hemispheres, typically associated with mental and motor retardation.
Term
MYOCLONIC SEIZURES
Definition
Repeated, shocklike, often violent contractions in one or more muscle groups.
Term
PARALYSIS
Definition
Complete loss of muscular function.
Term
PARESIS
Definition
Muscle weakness.
Term
PARESTHESIA
Definition
A sense of tingling or pricking ("pins and needles") on a part of the body surface.
Term
PARTIAL SEIZURE
Definition
Seizure in which only part of one cerebral cortex is involved.
Term
PATHOLOGIC REFLEXES
Definition
Present only in neurological disorders, such as Babinski reflex or Chaddock reflex.
Term
PETIT MAL SEIZURE (ABSENCE SEIZURE)
Definition
Characterized by brief loss of attention and perception.
Term
PHALEN SIGN
Definition
Reproduction of pain or paresthesia in carpal tunnel syndrome when both wrists are flexed with the hands firmly pressing one another back-to-back for 60 seconds.
Term
PORENCEPHALY
Definition
One or more cysts or cavities in a cerebral hemisphere communicating with the ventricular system. There may be little or no neurologic impairment.
Term
POSTICTAL STATE
Definition
After awakening from seizure, subject is drowsy and amnesic for a variable period.
Term
REFLEX
Definition
A muscular contraction occurring in response to a sensory stimulus.
Term
RESTING TREMOR
Definition
Tremor occurring only when the affected muscles are not being used for purposeful activity.
Term
SEIZURES
Definition
Sudden, transitory impairment of central nervous system function, with or without loss of consciousness, and with or without local or generalized tonic and clonic contractions of voluntary muscles.
Term
SIMPLE SEIZURE
Definition
No unconsciousness; local twitching or jerking; perception of flashing lights or other abnormal sensory phenomena.
Term
SPASM
Definition
Sustained contraction, usually painful, of a muscle.
Term
SPASTICITY
Definition
Tight muscles with resistance to manipulation and hyperactive reflexes.
Term
SPINA BIFIDA
Definition
A failure of closure of one or more vertebrae in the posterior midline, which may be associated with bulging of the meninges (meningocele), or of spinal cord and meninges (meningomyelocele).
Term
STATUS EPILEPTICUS
Definition
Series of grand mal seizures without waking intervals.
Term
SUPERFICIAL REFLEXES
Definition
Muscle contractions in response to stroking the skin; those of the abdominal wall are tested as part of a complete neurologic exam.
Term
SYNCOPE (FAINTING)
Definition
Sudden loss of consciousness, usually transitory, due to circulatory or neurologic abnormality, including central nervous system intoxication or injury, but frequently the result of strong emotion in the absence of organic disease.
Term
TIC
Definition
A rapid involuntary muscle twitch, typically recurrent and stereotyped, affecting one or several body areas.
Term
TINEL SIGN
Definition
Shocklike pain when the volar aspect of the wrist is tapped; indicative of carpal tunnel syndrome.
Term
TONIC-CLONIC SEIZURE
Definition
In the tonic phase the victim becomes rigid, often cries out, loses consciousness, falls, stops breathing. In the clonic phase there is generalized muscular jerking; may bite tongue or lips, may be incontinent of urine or stool.
Term
TREMOR(S)
Definition
Shaking of parts of the body supplied by voluntary muscles, principally the arms, forearms, and hands.
Term
VERTIGO
Definition
A subjective sense of spinning. Dysequilibrium and vertigo sometimes occur together, and both are indiscriminately referred to as dizziness by the laity.
Term
FAINTING (LAY)
Definition
Syncope
Term
FIT, CONVULSION (LAY)
Definition
Seizure; epileptic seizure.
Term
NUMBNESS (LAY)
Definition
Hypesthesia, anesthesia, or paresthesia.
Term
PINS AND NEEDLES (LAY)
Definition
Sense of tingling or prickling.
Term
SPINAL TAP (LAY)
Definition
Lumbar puncture.
Term
STROKE (LAY)
Definition
Cerebrovascular accident (CVA)
Term
WATER ON THE BRAIN (LAY)
Definition
Hydrocephalus.
Term
ANGIOGRAPHY
Definition
May be used to show cranial vasculature with injected contrast medium.In digital subtraction angiography, x-ray images of the head with and without contrast medium are processed by a computer, which deletes all shadows common to both films, leaving only the vascular system visible.
Term
BRAIN SCAN
Definition
An examination based on the distribution of a radioactive isotope injected systemically in brain tissue.
Term
CRANIOTOMY
Definition
Surgical incision into the cranium, which necessitates drilling or sawing through the bone of the skull.
Term
CRANIECTOMY
Definition
Surgical removal of part of the bone of the skull.
Term
ELECTROENCEPHALOGRAPHY (EEG)
Definition
Measurement and recording of electrical activity from several sites simultaneously. Electrodes are attached with fine needles to standard sites on the scalp, and the record is made on a strip of moving paper.
Term
ELECTROPHYSIOLOGIC STUDIES
Definition
Measurement of electrical activity in nerves and muscles. Electromyography (EMG) involves insertion of fine needle electrodes into voluntary muscles. Nerve conduction velocity (NCV) is measured by timing the passage of nerve impulses between a stimulating and a recording electrode, which are a precisely measured distance apart.
Term
FINGER-TO-NOSE TEST
Definition
The patient extends the arms outward laterally, closes the eyes, and tries to touch the finger to the nose. Test coordination.
Term
HEEL-TO-SHIN TEST
Definition
With the patient standing straight, the heel of one foot is placed against the shin of the opposite leg. Tests coordination.
Term
HOT AND COLD TESTING
Definition
Assessing the subject's ability to recognize hot and cold (via test tubes of hot and cold water) on various parts of the body surface. Sensory examination.
Term
IMAGING STUDIES
Definition
CT scan (with or without intravenous injection of contrast medium), MRI, and standard x-ray views of the skull.
Term
LIGHT TOUCH TEST
Definition
Assessing the subject's ability to recognize wisps of cotton drawn across the skin on various parts of the body surface. Sensory examination.
Term
LUMBAR PUNCTURE (LP)
Definition
Withdrawal of a specimen of cerebrospinal fluid from the subarachnoid space by inserting a needle between two vertebrae (usually L4 and L5) at the lower end of the spinal cord.
Term
MANOMETER
Definition
A graduated glass tube used to measure the pressure of the fluid at the beginning of the procedure and the end (opening and closing pressure).
Term
XANTHOCHROMIA
Definition
Name given to the yellowish hue of CSF fluid.
Term
MYELOGRAPHY
Definition
Visualization of the spinal canal by x-ray with contrast medium introduced into the subarachnoid space by lumbar puncture.
Term
PAIN TEST
Definition
Assessing the subject's ability to recognize a prick from a sterile needle on various parts of the body surface. Sensory examination.
Term
PROPRIOCEPTION TEST
Definition
Tested by having the subject report whether a toe or finger is moved up or down by the examiner.
Term
RAPIDLY ALTERNATING MOVEMENTS TEST
Definition
A test for coordination, this test has the patient perform rapid alternating movements of the hands or feet.
Term
ROMBERG TEST
Definition
Has the subject stand with feet together and eyes open, then eyes closed, to assess position sense in the trunk and legs.
Term
STEREOGNOSIS TEST
Definition
Test of the patient's ability to recognize an object by handling it.
Term
SURGICAL DRAINAGE OF AN ABSCESS
Definition
Usually preceded by antibiotic therapy, a craniotomy is performed and the abscess drained.
Term
TANDEM WALKING TEST
Definition
Tests the subject's ability to walk with one foot in front of the other in a straight line. A coordination test often used by police officers to assess drivers for substance abuse.
Term
TWO-POINT DISCRIMINATION TEST
Definition
Test of a patient's ability to distinguish two points close together on the skin.
Term
VIBRATORY SENSE TEST
Definition
Test of the patient's ability to sense the vibration of a tuning fork when the stem is placed on a bone near the surface, such as the elbow or shin.
Term
CSF (CEREBROSPINAL FLUID)
Definition
The fluid medium of the CNS (brain and spinal cord), which can be sampled by lumbar puncture (spinal tap) for chemical testing, cell counts, and culture.
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