Lack of coordination
constriction of pupils
difficulty in swallowing.
Parsthesias, hypersensitivity, ascedning, weakness lower extremites first, possible resp. failure, CSF show elevated protien
abnormal extensionbrainstem lesion
|# of Cervical vertebrae||
("runny nose") or congestion
treatment of symptoms/painmonitor RRgive RR treatments/support
Disordered or absent language function
Impairment of express, comprehension, or both
Ventriculostomy-monitor and drain CSF if needed
Intraparenchymal of a Fiberoptic Transducer Tipped Catheter
|Pricipal Motor Pathways||
corticospinal (pyramidal) tractbasal gangia systemcerebellar system
Rythmic, with periods of apneaIndicate: dysfunction in cerebral hemisphere or basal gangli
Able to elicit a response. Indifferent, apathetic, sluggish.
an exaggerated sumpathetic response that occurs in clients with T-6 injuries or above; response is seen after spinal schock occurs when stimuli cannot ascend the cord, a stimulus such as urge to void or abdominal discomfort triggers massive vasoconstriction below injury, vasodilation above injury, and bradycardia
degeneration, decline, or decrease, as from disuse
pertaining to, situated on, or affecting the same side of the body:
|Signs of Increased ICP||
Decrease LOC (earliest indication)Abnormal respirationsIncrease BP and wide pulse pressureSlow pulsefevervomit/ pupil changes
governs sensory and motor activity and thought and learning
section of temporal lobe responsible for primary auditory reception area and auditory association areas of speech
a disorder of the nervous system, characterized by an inability to perform purposeful movements, but not accompanied by a loss of sensory function or paralysis.
(of the body) pertaining to, situated on, or coordinated with the opposite side.
Between skull and dura
10% of severe head injuries
Usually associated with skull fractures
Injury to cerebral blood vessels under fracture
Bleeding continues and clot forms, seperating skull from dura.
each nerve has an anterior (ventral) root containing motor fibers and a posterior (dorsal) root containing sensory fibersanterior and posterior roots merge to form a short spinal nerve, less then 5mm long
remove all metal, iv pumps, pulse oxclaustrophobic
|Cranial Nerve XII||
Hypoglossal - articulation: stick out tongue
|Cranial Nerve II||
Optic - Sight: Snellen Chart test
a person who, because of brain injury, exhibits behavior characteristic of a decerebrated animal.
|Hypotension and brain injury||
BAD! Often associated with bad outcomes.
Avoid hypotonic fluids.
|Assessment of a stroke||
will affect contralateral side stroke was onairway is prioritypulse (slow & bounding)Respiration (cheyne stokes)HTNfacial droopingnuchal rigidityvisual changesataxiadysphsgia
caused by stress and tension; lasts > 4 hrs.; characterized by neck and shoulder muscle tenderness and bilateral pain at the base of the skull and in the forehead.
|lower motor neurons||
have cell bodies in the spinal cord (anterior horn cells)their axons transmit impulses through the anterior roots and spinal nerves, into peripheral nerves, terminating at the neuromuscular junction
loss of half of visual field in one or both eyes
|6 Steps of Neuro Assessment||
1. mental status 2. cranial nerves 3. motor system 4. cerebellar function 5. sensory system 6. reflexes