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Progressive neurological diseases
PT test
25
Health Care
Graduate
04/21/2011

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Term
Alzheimer's
disease
Definition
Deposition of
amyloid in the
parenchyma of
the brain which is
toxic to neurons
and
oligodendroglia.
Term
ALS
Definition
Death of cortical,
bulbar and
anterior cells
leads to gliosis
and
demyelination of
long tracts.
Term
Basal ganglia
(Parkinson’s)
Definition
Loss of
dopamine
producing cells
in the substantia
nigra
Term
Friedrich's
Ataxia
Definition
Effects the
dorsal root
ganglion
(cerebellar
neurons are
normal)
Exhibit
pyramidal signs.
Term
Multiple
Sclerosis
Definition
Process of
demyelination of
tracts secondary
to inflammatory
process.
Inflammatory
process leads to
plaque formation
that interferes
with impulse
conduction.
Term
Pan CB
degeneration
Definition
Purkinje cells in
cerebellum
degenerate.
Cerebellar nuclei
generally
unaffected.
Term
Post polio
syndrome
Definition
Giant m motor
units have high
metabolic
demand. Over
years of use
(overuse) these
undergo
"premature
exhaustion".
(Fredricks and
Term
ALS
Definition
Asymmetric
weakness, usually
distal at first.
Muscle cramps &
fasciculations Spasticity,
hyperreflexia & +
Babinski
Dysphagia.
Usually do NOT
have bowel and
bladder problems,
or problems with
eye movements
Term
parkinson's (PD)
Definition
Bradykinesia
Resting tremor
Rigidity
Postural
instability Micrographia
Bradyphrenia
Term
Friedrich's ataxia
Definition
Ataxia of all 4
limbs, cerebellar
dysarthria,
sensory loss,
absent LE reflexes
Term
MS
Definition
Visual
disturbance
Paresthesia
Weakness
Ataxia urinary problems
Term
Pan CD begeneration
Definition
Falls,
unsteadiness.
For the pts we
saw vision might
be the first noted problem
Term
post polio syndrome
Definition
Muscle
weakness from previously weak ms. Extreme fatigue
Joint and muscle
pain
Cold intolerance
Sleep apnea
Respiratory
difficulties in
patient
previously
ventilated
Dysphagia in
patient who
previously had
bulbar polio.
Progressive
deformities due
to mm
imbalance
Deteriorating
gait
Term
relapsing-remitting MS
Definition
exacerbation of
symptoms,
followed by a
period where the
symptoms remit
followed by a
long period
where no new
symptoms
appear. Over
time the patient
gradually
accumulates
some deficits as
a result of each
exacerbation
and worsens.
Term
chronic progressive ms
Definition
continues to
worsen type of ms
Term
benign
Definition
patient
has some
symptoms that
remit and is
essentially
disease free
between
exacerbations. type of ms
Term
freidrich's ataxia
Definition
these pts typically develop cardiac myopathy
Term
Alzheimers disease
Definition
neuromuscular effects of disease?
Loss of muscle
bulk, possibly
associated with
changes in
metabolism
Term
ALS
Definition
neuroms effects of disease?
Combination of
flaccid and
spastic paralysis
together with
bulbar paralysis
Fasciculations
Term
Parkinson's disease
Definition
Neuro MS effects of disease?
Rigidity
Pts generally
are not weak
although some
weaknesses
have been
shown later in
the disease.
Term
Freidrich's ataxia
Definition
neuroms effects of disease?
Progressive
weakness and
ataxia.
Term
MS
Definition
Neuro MS effects of disease?
Muscle
weakness,
spasticity, ataxia
and spasms,
depending on
the site of the
plaques.
Term
Pan CB degeneration
Definition
neuro ms effects of disease?
Minimal effects
on strength.
Problem lies in
the scaling of
force and timing
of motor unit
firing.
Term
Post polio syndrome
Definition
neuro ms effect of disease?
Loss of strength
in muscle
previously
affected by polio
and some mm
previously
unaffected.
Term
bulbar neurons
Definition
glossopharyngeal nerve (IX), vagus nerve (X), and hypoglossal nerve (XII)
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