PBL-2
NEUROSCIENCE
Dr. Abdulrahman AL-Shudifat
Neurosurgery Dept.
Faculty of Medicine
University Of Jordan
CASE SCINARIO

A 57 year old female patient
Complaining of Right sided hemi paresis
.Duration
.Progression
.Distribution
.Risk factors
.Associated symptoms
PATHOPHYSIOLOGY



Weakness means loss of power:
Neuronal
Muscular
Functional
Paresis Vs Plegia
Upper motor neuron Vs Lower motor
neuron
ANATOMY…….
ARTERIES
REMEMBER…
You look for diagnosis!!!!!
Diagnosis will lead to….
MANAGEMENT & PROGNOSIS
WHAT DO I NEED FOR DIAGNOSIS????
STEPS…..
.Knowledge
.Clinical history
.Clinical examination
.Investigation
.Diagnosis or Differential diagnosis
.Management
TYPE OF CVA:
SPACE OCCUPYING LESIONS
CLINICAL HISTORY
Age
Pediatric,Young,Elderly

Gender
Male,Female

Duration
Acute,Chronic

PHYSICAL EXAMINATION
General Examination
Rule out systemic disease

Neurological Examination
Rule out other neurological deficits
for localization

INVESTIGATION

Lab test

Radiological( X-ray, CT ,MRI ,Angiogram )

Specific neurological Investigations
MANAGEMENT


Acute:
-Medical
-Interventional
Chronic:
-Medical
-Multidisplinary team
CHOICES…..
THANK YOU…..