Visual system
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This document discusses various aspects of visual processing and disorders. It outlines the initial visual pathway from the eyes to the optic chiasm and optic radiations. It then describes two middle visual pathways - one involving the geniculostriate path to primary visual cortex for pattern analysis and color perception, and another tectopulvinar path to secondary visual cortex for detection and orientation. Various visual disorders are discussed including visuoperceptual, visuospatial, and visuomotor disturbances, with specific disorders like visual agnosias, distortion, confusion, and integration problems explained. Tests to assess these disorders are also provided.
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The bottom line:
The visual cortex has the capacity for experience dependent change (neuroplasticity) throughout life. Unfortunately, when it comes to the adult with binocular vision problems, this is not always recognized as being true even though there is strong clinical evidence to suggest a high level of adult neuroplasticity. Current research shows that adults tend to have numerous anomalies associated with the binocular vision system especially within certain populations. This case series demonstrates how those even approaching 70 years of age can benefit from optometric vision therapy.
Vision Performance Institute: 3D Vision Syndrome Creating a Better Audience
This document discusses 3D vision syndrome, its diagnosis, and treatment. It summarizes the key points as follows:
1. Millions of people suffer from symptoms like blurred vision, headaches, and dizziness when viewing 3D content. Proper diagnosis and treatment are important to improve quality of life.
2. Diagnosis involves a comprehensive eye exam to evaluate visual acuity, refractive error, eye alignment, eye movements, and binocular vision skills.
3. Treatment options include glasses, prisms, and optometric vision therapy to improve binocular vision skills and coordination of the eyes. Vision therapy has been shown to effectively treat convergence insufficiency and accommodative disorders.
Introduction to ophthalmolgy
This document provides an introduction to the field of ophthalmology. It discusses the objectives of the tutorial, which are to give a simple introduction to clinical anatomy, physiology and embryology of the eye, and to recognize the clinical approach to eye complaints. It then defines ophthalmology as the branch of medicine dealing with the anatomy, physiology and diseases of the eye. The rest of the document outlines the key components of an eye exam, including history taking, examination of adnexa, anterior and posterior segments, and techniques for fundus examination.
Pupil
The pupil is a circular opening located in the center of the iris that controls the amount of light entering the eye. It constricts (miosis) and dilates (mydriasis) under autonomic nervous system influence. The iris contains two sets of muscles - the sphincter pupillae contracts the pupil in response to parasympathetic stimulation while the dilator pupillae dilates it with sympathetic stimulation. Abnormal pupils may be unequal in size (anisocoria), irregularly shaped, or have abnormal reactions to light. Various diseases and drugs can affect the pupils.
Cog5 lecppt chapter02
1. Capgras syndrome results from a conflict between intact perceptual recognition and a lack of emotional response due to damage to the amygdala and prefrontal cortex.
2. Brain imaging techniques like fMRI, PET, CT, and EEG provide information about brain structure and activity that helps link brain areas to specific cognitive functions and behaviors.
3. Damage to different areas of the brain can result in distinct cognitive impairments like aphasia, agnosia, apraxia, or neglect due to the localization of function in the brain.
Cataract evaluation ppt
Cataract surgery is the most common surgery that we perform on a outpatient basis. Evaluation of the patient is critical and essential for a desirable visual outcome.
PRE-OPERATIVE EVALUATION IN CATARACT SURGERY
This document summarizes the key points in assessing a patient for cataract surgery. It discusses obtaining a thorough history including vision symptoms, medical history, medications and allergies. A comprehensive eye exam evaluates visual acuity, refraction, external exam, slit lamp exam of the anterior segment and dilated fundus exam. Additional tests may include biometry to calculate IOL power, corneal topography and lab tests. Special considerations are discussed for conditions like uveitis, glaucoma, retinal disease and prior refractive surgery. A complete pre-op evaluation is important to identify risks and ensure the best surgical outcome and post-op visual rehabilitation.
Low vision rehabilitation
Provides information about basics of low vison rehabilitation of patient with central and peripheral visual field
MYOPIA.pptx
This document discusses myopia (nearsightedness), including its classification, grading, clinical varieties, etiology, signs and symptoms, and treatment options. Myopia occurs when parallel rays of light focus in front of the retina, in contrast to emmetropia where the focus is on the retina. It is classified by etiology such as axial or curvatural myopia. Treatment includes optical options like glasses/contacts and surgical procedures like LASIK. Preventive measures aim to slow progression by reducing near work and increasing outdoor activity.
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Neuroplasticity and Vision Therapy for Adults; A Case Series
Neuroplasticity and Vision Therapy for Adults; A Case Series
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A case of abdominal colic presented with bilateral wrist drop and anemia working in Battery factory without protection as contract labor in India.
Spinal cord disorders Anatomical Approach
This document provides an overview of spinal cord anatomy and disorders. It describes the spinal cord's location and functions, including conduction of information between the brain and body, control of locomotion, and reflexes. Anatomically, it details the spinal cord's segments, gray and white matter structures, vascular supply, and coverings. Regarding disorders, it notes that compressive myelopathies can be extradural or intradural, and intrinsic lesions can be intramedullary. Clinical features of spinal cord disorders include patterns of motor, sensory and autonomic dysfunction depending on the level and nature of the lesion.
Should we allow natural death?
Acceptance for death has become extremely rare among patients and caregivers. Situation is grave in Indian hospitals.
Chronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegia (CPEO) is a descriptive term for a heterogeneous group of disorders characterized by chronic, progressive, bilateral, and usually symmetric ocular motility deficit and ptosis, without pain, proptosis and pupil involvement. Commonly a syndrome of Mitochondrial Cytopathy.
Motivating hospital workers
This document discusses different theories of motivation in the workplace. It covers intrinsic and extrinsic motivators, Maslow's hierarchy of needs, Herzberg's two-factor theory, and equity theory. The document also examines what motivates people in different countries, what employees value in their jobs, and how the 40-hour work week emerged. A key point is that while pleasure, leisure, and happiness are often seen as motivators, a truly happy and motivated person would feel compelled to act due to their nature but remain detached from outcomes and desires.
Brain stem 2014
This document discusses the anatomy and development of the brain stem. It begins with an overview of the three main regions of the brain stem - the medulla, pons, and midbrain. It then examines the development of the brain stem and cranial nerves in the early stages of gestation. The majority of the document focuses on detailed images and descriptions of the gross and microscopic anatomy of structures within the brain stem, including nuclei, tracts, and cranial nerve pathways.
Muscle tone
1) Muscle tone is a state of partial contraction of resting muscle that maintains body posture through continuous motor impulses from reflexes.
2) Muscle spindles are stretch receptors that provide sensory feedback on muscle length and rate of stretch. Their afferents signal to the CNS and regulate motor neuron activity.
3) Spasticity results from loss of supraspinal control over reflexes after upper motor neuron injury, causing velocity-dependent increases in tonic stretch reflexes and impaired voluntary movement.
Cerebellum Anatomy and Physiology
The document provides information about the cerebellum including its anatomical subdivisions, development, functional organization, and connections. It discusses the phylogenetic organization of the spinocerebellum, pontocerebellum, and vestibulocerebellum. It also summarizes the functions of the archicerebellum, paleocerebellum, and neocerebellum as well as cerebellar abnormalities caused by lesions in different areas.
Corticospinal system
The document summarizes research on the organization and function of the motor nervous system and motor cortex. It describes that the primary motor cortex directly controls spinal motor neurons to enable fine movement control. The dorsal premotor cortex contains movement-related neurons that encode sensorimotor transformations for visually and sensory-cued movements. The ventral premotor cortex encodes learned motor acts and fires before movement execution. Long-term practice leads to more extensive representation of movements in the primary motor cortex, demonstrating the adaptability and plasticity of cortical motor areas.
Motor paralysis clinical
This document discusses the motor nervous system and motor paralysis from multiple levels including:
- The motor cortex and its connections to other brain areas
- The extrapyramidal and pyramidal systems
- Different types of apraxia and their lesion locations
- Lesions of the brainstem, spinal cord, nerves and muscles that can cause hemiplegia, monoplegia, or paraplegia
- The clinical features and localization of upper and lower motor neuron lesions
- Specific motor syndromes and their etiologies
It provides an overview of the organization of the motor system and localization of lesions throughout the nervous system that can result in different clinical motor deficits.
Basal Ganglia Clinical Anatomy Physiology
The document discusses the basal ganglia, including its subdivisions and connections. It describes the basal ganglia's role in voluntary movement, including initiation and control of movement. Disorders of the basal ganglia like Parkinson's disease can cause issues with movement including bradykinesia, rigidity, and tremors. Lesion and stimulation studies in animals help explain how abnormalities in basal ganglia circuits lead to motor symptoms.
Myoclonus
This document provides information about myoclonus, which are sudden, shock-like contractions of muscles. It describes different types of myoclonus including focal, cortical, brainstem, spinal, peripheral, multifocal, generalized, essential, and childhood myoclonic epilepsies. Diagnostic tests like EMG and EEG are discussed. Various causes and treatment options are also mentioned.
Athetosis and dystonia
This document discusses athetosis and dystonia. It defines athetosis as irregular, slow writhing movements, often of the extremities and fingers. Dystonia is defined as an abnormal sustained muscle contraction causing twisting movements and abnormal postures. The document describes the clinical presentations and patterns of movement seen in athetosis. It discusses the potential pathophysiology of athetosis involving lesions in the frontal lobes, parietal lobes, and putamen. Causes of athetosis in children and adults are provided. Dystonia is similarly defined and classified. Potential pathology, types, hereditary forms, and secondary causes of dystonia are outlined in detail.
Tic disorder
This document discusses tic disorders, including Tourette Syndrome. It describes the characteristics and symptoms of simple and complex motor and vocal tics. Tourette Syndrome is defined by the presence of multiple motor and vocal tics with onset before age 18 that have been present for over a year. The document discusses the pathophysiology involving dopamine dysfunction and potential genetic and environmental factors. Diagnostic criteria from the Tourette Syndrome Study Group and DSM-IV are provided. Prognosis is noted to be generally good, with marked improvement in tics occurring in late teens to early twenties for most patients.
Chorea and ballismus
1. Chorea is a state of excessive, spontaneous, irregular movements that are randomly distributed and abnormal in character. It can range from mild restlessness to violent disabling movements.
2. Ballismus involves proximal, flinging, violent involuntary movements. Both chorea and ballismus are associated with basal ganglia dysfunction and abnormal neurotransmitter levels like decreased GABA and increased dopamine.
3. Causes of chorea and ballismus include infections, metabolic and endocrine disorders, drugs, trauma, vascular events, tumors, and hereditary conditions like Huntington's disease. Treatment involves reducing dopamine levels with antipsychotics or GABA agonists, as well as surgical procedures like pallidotomy or thalamotomy
Management of Tremor
This document provides information on different types of tremors, including their causes, characteristics, and pathophysiology. It discusses rest tremor seen in Parkinson's disease and other conditions. It also covers postural tremor, physiological tremor, essential tremor, kinetic tremor, and cerebellar intention tremor. For each type of tremor, the summary highlights key details like involved areas of the brain, typical frequencies, symptoms, and potential treatments.
Hypertension and stroke
This was lecture given at College of General Practitioner Hyderabad on 16th June 2013 as refresher course on Hypertension
Rapidly Progressive Fatal Neuromyositis
A 42/f presented with rapidly progressive Neruo-myositis with quadriplegia unresponsive to Immunosuppression.
Stroke management
This is a short presentation at Down Town Hospital clinical meeting for DNB Medicine students. It dose not cover the all aspects of stroke care especially Thrombolysis, since it is difficult to practice for Medical specialist, and ischemic stroke is not common in North East India
Neurologic manifestation of HIV/AIDS
This document discusses the neurologic manifestations of HIV/AIDS in India. Some key points include:
- Opportunistic infections like cryptococcal meningitis and tuberculosis account for the majority (around 70%) of neurologic events seen in HIV patients in India.
- Conditions like progressive multifocal leukoencephalopathy and myelopathy are relatively rare compared to Western countries.
- Common neurologic manifestations include meningitis, mass lesions in the brain, and various neuropathies.
- The pattern of neurologic involvement tends to change as the CD4 count declines, with more severe complications occurring at very low CD4 levels.
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みなさんこんにちはこれ何文字まで入るの？40文字以下不可とか本当に意味わからないけどこれ限界文字数書いてないからマジでやばい文字数いけるんじゃないの？えこ...
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みなさんこんにちはこれ何文字まで入るの？40文字以下不可とか本当に意味わからないけどこれ限界文字数書いてないからマジでやばい文字数いけるんじゃないの？えこ...
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Visual system
- 1. Neuropsychology of Visual Processes