Question

1) A patient is admitted who reports having muscle tremors. a) Why is it important to determine if the tremor is an intention or resting tremor to be able to identify the area of the brain affected? b) What are two possible CNS disorders that could be causing this? c) What are two possible causes of these tremors that is not due to a central nervous system malfunction?

2) An accident victim is admitted and you are doing a consultation exam on her. She has lost both the sensation and movement (both voluntary and reflexes) in only her right leg. Otherwise she is neurologically normal. What areas of the nervous system could possibly be affected to cause this? BONUS What type of medication would typically be used to treat this?

Answer 1

1.a.A resting or intention tremor can occur to an individual when at rest are in kinetic motion.They have tremors involuntarily and hardly able to control it.This is a sign of some central nervous system problem. This helps to determine which part of brain is affected .For example In Parkinson's basal ganglia and substantia niagra are affected.The tissues are affected in multiple sclerosis

b.Some of the possible cause of CNS disorder are

• Parkinson's disease
• Multiple sclerosis
• Muscular dystrophy
• Spinal dystrophy

c.The non central nervous system causes are

• Increased caffeine intake
• Deficiency of vitamin D,Vitamin B and calcium
• Fluid volume deficiency
• Use of nicotine

2,This indicates the patient has motor cortex injury .The reflex are poor in case of motor neuron problems

The drugs used to treat are

Anti inflammatory to reduce any swelling

Anti cholinergic drugs