Summary
Samenvatting Ziekteleer NZA
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- Institution
Even een fijne recap van Ziekteleer NZA voor o.a. VKR!
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Ziekteleer Neurologie,Zintuigen en Anesthesiolog
Pernilla Krans
,Algemeen
, Cerebrum aangetast > veranderd gedrag (bijv. dwangbewegingen)
verminderd bewustzijn (sopor, stupor, coma). Verminderde
houdingsreacties en blindheid met intacte pupilreflex (schorsblindh
Epileptiforme aanvallen.
Hersenstam aangetast > remmende invloed van UMN valt weg, du
versterkte spinale reflexen en spasticiteit. Afwijkende adempatrone
centrale vestibulaire ataxie.
Cerebellum aangetast > ataxie (hyper- of dysmetrie), intentietremo
Vestibulair systeem aangetast > perifere vestibulaire ataxie (draaii
hoofd en hals naar aangetaste kant, romp naar aangetaste kant,
cirkelbewegingen naar aangetate kant, strabismus, horizontale/rota
nystagmus), centrale vestibulaire ataxie = door Listeria, infectie of
tumor. Zelfde verschijnselen als perifeer maar ook verticale nystag
parese van ipsilaterale poten en vertraagde houdingsreacties.
Ruggenmerg aangetast > kan in UMN of LMN zitten.
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