Neuro Exam | Epilepsy Syndromes | CNS Malformations | Skin Findings | Metabolic Diseases |
---|---|---|---|---|
Deep Tendon Reflexes 4+
Clonus present when eliciting reflexes
|
Absence Epilepsy
3 Hz spike and wave generalized discharges
|
Chiari Malformation type 1
Cerebellar tonsils > 5 mm below foramen magnum
|
Cafe au lait spot
Hyperpigmented, light brown, flat macule in a child with macrocephaly
|
Maple Syrup Urine Disease
Elevation of Isoleucine, leucine, valine
|
Dysmetria
Impaired ability to estimate distance in muscular action (target overshoot or undershoot)
|
Benign Rolandic Epilepsy
Centro-temporal spikes
|
Myelomeningocele
Protrusion of the spinal cord and meninges from the spinal column forming a sac
|
Ash leaf spots
Hypomelatonic ovoid macule with irregular margins, seen under woods lamp
|
PKU
Disease with low tyrosine levels and "musty odor"
|
Muscle strength 3/5
What degree of strength is described here? movement possible against gravity but not against resistance by the examiner
|
Juvenile Myoclonic Epilepsy
4-6 Hz generalized spike and polyspike and wave discharges
|
Dandy Walker Malformation
Vermis hypoplasia, cystic dilation of the 4th ventricle and enlarged posterior fossa
|
Port- Wine Stain
Discoloration of the facial skin cause by a vascular abnormality
|
Ornithine Transcarbamylase Deficiency
Severe elevation of ammonia in a newborn on the 3rd DOL with respiratory alkalosis
|
Crossed Adductor Reflex
What is the name of this exam finding?
Contraction of both hip adductors when either knee jerk is elicited |
Lennox-Gastaut Syndrome
Multiple seizures types, intellectual disability and slow spike and wave on EEG
|
Holoprosecephaly
Lack of midline brain cleavage with associated midline defects
|
Shagreen patch
Oval-shaped and nevoid, skin-colored with leathery texture
|
Mitochondrial Encehalopathy, Lactic Acidosis and Stroke Like episodes
What is MELAS?
|
Ciliospinal Reflex
What is the name of the reflex?
Dilation of the ipsilateral pupil in response to pain applied to neck |
Panayiotopoulos Syndrome
High amplitude, focal spikes mostly in occipital region activated during sleep with emesis and pallor
|
Schizencephaly
Abnormal cleft in the cerebral hemispheres
|
Hypomelanosis of Ito
Skin findings characterized by streaks or whorled areas of hypopigmentation and associated with epilepsy
|
X-Linked Adrenoleukodystrophy
Elevation of Very Long Chain Fatty Acids
|