aula semiologia neurologica

1. SEMIOLOGIA DO SISTEMA NERVOSO MATHEUS FELIPE B. LOPES MEDICINA - UNIMONTES

21. EXAME FÍSICO

27. NEUROFIBROMATOSE

29. Patient with dermatomyositis. There is evidence of a hyperememic rash on the upper chest, face and palm

30. Sturge-weber Syndrome

31. PELAGRA

32. DISTROFIA MIOTÔNICA A patient with myotonic dystrophy who has the typical symptoms of muscle wasting, ptosis, and frontal balding. Myotonic dystrophy is a relatively common form of muscular dystrophy. It can present in children and adults and is inherited as an autosomal dominant trait. The characteristic myotonic discharges correlate with clinical myotonia. Weakness is also a feature of myotonic dystrophy and often affects distal as well as proximal muscles. Other features common in adults with myotonic dystrophy include cataracts, testicular atrophy, and an organic mental syndrome. Skeletal muscle biopsy usually shows nonspecific myopathic changes

34. TCE Battle's Sign Raccoon Eyes

36. Inferior Rectus Entrapment The inferior rectus muscle is entrapped within the blowout fracture. When the patient tries to look upward, the affected eye has limited upward gaze. The patient experiences diplopia with this maneuver. (Courtesy of Lawrence B. Stack, MD.)

38. Generalized myasthenia gravis, key features. A Ptosis B Attempted gaze to the right. Only right eye abducts incompletely. C Demonstrates proximal weakness upon attempt to raise the arms. D Holding the arms and fingers extended the extensor muscles weaken and finger drop occurs’

42. CONTINUA...

46. Test extension at the knee (L2, L3, L4—quadriceps). Test flexion at the knee (L4, L5, S1, S2—hamstrings) Test flexion at the hip (L2, L3, L4—iliopsoas)

47. Test dorsiflexion (mainly L4, L5) and plantar flexion (mainly S1)

48. A boy with Duchenne muscular dystrophy (DMD) demonstrating pseudohypertrophy of his calves and a positive Gower's maneuver (climbing from a sitting position because of proximal muscle weakness). DMD is the most common inherited form of muscle disease

49. EXAME DOS NC

50. Oculomotor nerve paresis: A Complete ptosis; B Upon lifting of the lid lateral deviation of left bulbus. Pupillary dilatation (mydriasis) signals the parasympathetic fibers for the sphincter pupillae are affected

60. SUCEDÂNEOS DO BABINSKI

63. LESÕES DA VIA MOTORA

65. SÍNDROME CEREBELAR Dismetria Decomposição dos movimentos Disdiadococinesia Tremor durante realização de movimentos Marcha atáxica Hipotonia

79. SÍNDROME DO TÚNEL DO CARPO

80. SÍNDROME DO TÚNEL DO TARSO

81. NEUROPATIA PERIFÉRICA

82. NEUROPATIAS POR METAIS PESADOS Fig. 15. Meese lines at the nailbed, in case of arsenic poisoning and polyneuropathy (courtesy Dr. Freymueller, Hermagor, Austri

83. LESÃO DO NERVO ULNAR

84. LESÃO DO NERVO RADIAL

85. Fig. 32. Ilioinguinal nerve lesion after gynecologic surgery. The sensory loss (marked with a ball pen) reached almost the labia