Cerebral Arteries
Left MCA (Middle Cerebral Artery)
Exaggerated chorea with circular movements of left extremites
Right Subthalamic nucleus lesion
Cyclothymia
Incontinence caused by BPH
Overflow Incontinence
"Pin-point" pupils
Opioid intoxication
Right lower extremity weakness & urinary incontinence
Left ACA (Anterior Cerebral artery)
Intention tremor of right hand, dysdiadokinesia (inability to perform rapidly alternating movements, dysmetria (past-pointing)
Right Posterior lobe of Cerebellum
explosive episodes daily with orbital pain, lacrimation, and nasal discharge
Cluster Headache
Anti-mitochondrial autoantibodies (AMA) postive with granulomatous inflammation of bile ducts
Primary biliary cholangitis (PBC)
Poliovirus structure
Non-enveloped, (+) ssRNA
Left homonymous hemianopia with macular sparing
Right PCA (Posterior Cerebral Artery)
Nystagmus, titubation (head-nodding), impaired tandem walking
Flocculonodular lobe of Cerebellum
High conjugated bilirubin, histology: black or dark brown lysosomal pigment in the hepatocytes
Dubin-Johnson syndrome
Astrocyte origin, GFAP (+), “Pseudopalisading” pleomorphic tumor cells
Glioblastoma
1-week-old girl with CSF analysis: elevated neutrophils, elevated protein and decreased glucose: 3 possible organisms
< 6 months:
1. Group B Strep. agalaria
2. E. coli K1
3. Listeria
Lateral Pontine Syndrome: Horner Syndrome, sensorineural deafness, loss of pain and temp. sensation of right face and left hemibody
Right AICA (Anterior Inferior Cerebellar artery)
Medial Medullary Syndrome: tongue deviation to the right, loss of proprioception, vibration, & fine touch in left lower face, loss of weakness in left extremities
Right ASA (Anterior Spinal Artery)
Pes cavus (high-arched feet), decreased vibration in all extremities, wide-based gait
Friedriech's Ataxia
Aware of issue but has not taken action
Contemplation
Lamber-Eaton Syndrome diagnostic hallmark
Incremental increase of compound muscle action potential amplitude
Wallenberg Syndrome: ataxia, no taste sensation, nystagmus, dysphagia, no gag reflex, tendency to lean to the left
Left PICA (Posterior Inferior Cerebellar Artery)
Right UE and LE weakness and sensory deficit and Left limb ataxia
Left Lenticulostriate arteries
Exfoliative Toxin B cleaves Desmoglein-1
Scalded Skin Syndrome
Most lateral deep cerebellar nucleus and is rich in iron
Dentate nucleus
Complication: Subacute Sclerosing Panencephalitis
Measles (Rubeola)