PS365 Chapter 26: PS365 Chapter 26

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9 Mar 2017
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The neurological examination: neurologist: physician specializing in the treatment of brain injury/dysfunction, takes patie(cid:374)t"s history, physical condition, and recommends additional tests. Joint-position sense: two-point discrimination, tactile localization, object identification. The distribution of the cerebral arteries and vascular disorders: particular brain regions are perfused by particular cerebral arteries, damage to a given cerebral artery will lead to a distinct pattern of damage. If the flow through small blood vessels (e. g. capillaries) is interrupted, effects are limited, prognosis can be rather good because vessels in the surrounding areas can supply blood to at least some of the deprived area. If stroke affects a region supplied largely by weak/diseased vessels, effects can be more serious (no compensation: additionally, the surrounding weak areas may themselves be at risk. In the event of pre-existing vascular lesions, the effects of new lesions are highly variable. Migraine stroke: account for a significant proportion of strokes in those under age 40 (especially women)

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