sensory examination sensory lesions
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Neurophysiology I ModulePhysiology Lab 1
Presented by:
Dr.Shaimaa Nasr Amin
Associate Professor of Medical Physiology
Sensory Examination&
Sensory Lesions
Sensory Examination
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Dr.Shaimaa N.Amin, CNS 2021
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Positive Romberg’s sign
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EXAMINATION OF SPINOTHALAMICSENSATIONS
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MAJOR SENSORY ABNORMALITIES:
Hyposthesia, Anaesthesia: reduced or absent touch sensation.
Hyperesthesia: lowered threshold to tactile stimuli.
Parasthesia: tingling or numbness sensation (pins and needles).
Hypo`algesia, Analgesia: reduced or absent pain sensation.
Hyperalgesia: exaggerated response to painful stimuli.
a- Primary hyperalgesia: occurs in the injured area and is caused by
sensitization of local nociceptors by inflammatory mediators, e.g. in sunburned
skin.
b- Secondary hyperalgesia: occurs in uninjured area due to facilitation of sensory
transmission, e.g. in thalamic syndrome.
Allodynia: exaggerated pain response to non-painful stimuli, e.g. light touch.
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SENSORY LESIONS
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Peripheral nerve lesions
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Spinal cord lesions
Herpes zoster
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Dr.Shaimaa N.Amin, CNS 2021
Herpes Zoster:
-It is a viral infection, in which the herpes virus attacks a dorsal root ganglion (DRG) in patients with history of varicella (chicken pox) infection.
-Virus starts to reproduce causing irritation of pain afferents in the DRG leading to severe pain felt in the dermatomal segment supplied by the infected ganglion.
-The virus also migrates with neuronal cytoplasmic flow towards the peripheral axons to their cutaneous terminals, where it reproduces leading to painful skin rash and vesicular formation.
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Syringomyelia
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Tabes dorsalis
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Sub-acute combined degeneration
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Dr.Shaimaa N.Amin, CNS 2021
Thank You
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