Oh SNAP
Which type of electrode has the largest recording area?
Monopolar needle
What type of fiber is used for standing?
Type 1a
What is this?
Epidural Hematoma
- contralateral leg > arm weakness
- urinary incontinence
Anterior Cerebral Artery
Name the stroke syndrome:
- CN 3
- contralateral hemiplegia
Weber Syndrome
What changes occur with cold extremities?
Increased amplitude
Prolonged duration
Decreased CV
Pt with wrist extensor weakness with tricep and anconeus sparing. Which nerve is affected?
PIN
What stage of swallowing does aspiration usually occur?
Where is the lesion for bilateral temporal visual deficits?
C
Name the stroke syndrome:
- eyes can only go up & down
Locked-In Syndrome
Which study do you want to test with submax stimulation?
H-reflex
What would you see when performing high rate repetitive stimulus on a pt with LEMS?
200-300% increment in amplitude
Symptoms of baclofen withdrawal
itchy
bitchy
twitchy
- Clumsy hand
- Dysarthria with minimal weakness
- No sensory loss
Basis Pontis
Name the stroke syndrome:
Ipsilateral ataxia
Ipsilateral facial numbness
Ipsilateral ptosis, miosis, anhidrosis
Contralateral body pain and temperature loss
Wallenberg Syndrome
During repetitive nerve stimulation at 3 Hz, there is a >10% decrement in CMAP amplitude that improves after brief exercise. This electrodiagnostic pattern is most consistent with what disorder?
What is myasthenia gravis?
If you stimulate the ulnar nerve at the wrist see waveforms while recording at the APB, what is the diagnosis?
Riche-Cannieu
Brunnstrom Stages of Stroke Recovery (7)
1- flaccidity
2- spasticity and synergy patterns appear
3- spasticity peak
4- spasticity starts to decrease
5- increased motor movement, decreased spasticity, decreased synergy patterns
6- isolated coordinated movement, no more spasticity
7- normal motor
Angular gyrus
Double Points: Temporo-parietal injury
Name the stroke syndrome:
- CN 3
- contralateral ataxia, tremor, chorea
- contralateral hypesthesia
Benedikt Syndrome
In blink reflex testing, absence of the ipsilateral early response with preserved bilateral late responses suggests a lesion affecting which structure?
What is the ipsilateral trigeminal nerve (V1) or its pontine entry zone?
- EMG: Neurogenic changes in the right triceps, pronator teres, and flexor carpi radialis.
Which trunk is affected?
Middle Trunk
Name the dysphagia compensatory strategy:
valsalva manuever to maximize vocal cord closure during swallowing
Super Supraglottic Swallow
Be as specific as possible for the following lesion:
- nonfluent
- able to comprehend
- unable to repeat
Broca's Aphasia
Superior M4 division of MCA
Name the stroke syndrome:
- CN 6 & 7 are affected
- contralateral hemiplegia
- gaze palsy
Raymond - Foville Syndrome