MKSAP Neurology Review

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4 Tracts for lesion localization • MOTOR system [most important for localization] – Corticospinal • Cortical • Subcortical – Anterior horn cell starts the peripheral nervous system • 2 sensory systems – DORSAL columns – Spinothalamic • Cerebellar [least important for localization]
Motor system first! [Strength, tone, atrophy, ±reflex] • CNS lesion? – Hyper-reflexia (after initial shock) – Increased tone – NO ATROPHY (caveat: anterior horn cells) • Peripheral lesion? – Decreased reflexes – Decreased tone – Atrophy (caveat: demyelinating neuropathies)
Page 1 and 2: MKSAP Neurology Review Daniel L. Me
Page 3: 2 overriding concepts • Ockham’
Page 7 and 8: Central nervous system • Cortical
Page 9 and 10: SENSORY SYSTEM (2 types) • LARGE
Page 11 and 12: 2 nd Step: Sensory system • If pe
Page 13 and 14: Major Neurology Topics • Headache
Page 15 and 16: Headaches • Any “RED FLAG” he
Page 17 and 18: Cluster headaches • Similar patho
Page 19 and 20: Tumor Comparison Infiltrators Displ
Page 21 and 22: Delirium, Dementia, Stupor, Coma Se
Page 23 and 24: Dementia • Do not diagnose until
Page 25 and 26: Stupor and Coma • FOCAL DEFICIT =
Page 27 and 28: Central versus peripheral Central P
Page 29 and 30: Movement disorders • BALANCE of A
Page 31 and 32: Tremors • Essential - Action trem
Page 33 and 34: Some exceptions • Acute dystonic
Page 35 and 36: 1 lesion ≠ Multiple Sclerosis •
Page 37 and 38: Spinal cord disorders • ALWAYS el
Page 39 and 40: Nerve structure • Myelin sheath -
Page 41 and 42: Myelinopathy versus axonopathy •
Page 43 and 44: Epilepsy • A disorder of the cort
Page 45 and 46: Evaluation • Elicit complete hist
Page 47: Treatment exceptions • Juvenile m

MKSAP Neurology Review

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