躯体感觉障碍 脑神经损伤与三叉痛专题讲座.ppt

Hypoglossal nerve Only motor fiber Oboservation the tremors, atrophy and fasciculations (When the tongue protrudes) Deviation toward to paralysis Paralysis of the hypoglossal nerve affects the tongue. It impairs speech (it sounds thick) and causes the tongue to deviate toward the paralyzed side. In time, the tongue diminishes in size (atrophies). Hypoglossal tumor Tongue atrophy in left side 5. From Special symptoms:Basal ganglia disorder symptoms 1 Tics 2 Tremor 3 Choreic movement 4 Athetosis Movement involuntary Spasticity Continue clonic contraction, upper motor neuron( HSP)MOV Myoclonus: A single sudden jerk or a short series occurring in slow :such as CJD, Metabolic Encephalitis Clonus-VCDVCD3 001.MOV Tic disorders Sudden, repetitive, stereotyped, purposeles brief actions, gestures, sounds The prototype tic disorder Tourette syndrome Chorea HD and Wilson disease ussually seen 1.HD family111.mpg 2 .2.MPG 3.HD cheng jianxin.avi 4.HD2.mpg Denotes rapid irregular muscle jerks that occur involuntarily and unpredictably in different parts of the body Tremor Intension tremor: cerebellar Rest tremor: PD(4-6 Hz):PD brother 012.mpg PD. tremor1.mpg Action tremor: Essential Postural tremor: metabolism(8-12 Hz) Dystonia tremor PatientsVCD.mpg A rhythmic oscillatory movement best characterized by its relationship to voluntary motor activity Midbrain hemorrhage VCD Athetosis Definition In contrast to chorei form movements, these are slower When writing, resembling the actions like a worm or snake Coordination Principally evaluates cerebellar function Dependent on other components of movement Incoordination: ataxia Finger to nose test Diadochokinesia (Pronator-supinator test) Stewart-Holmes Rebound sign Heel to shin