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PBL-2 NEUROSCIENCE

Explore the case scenario of a 57-year-old female with right-sided hemiparesis, covering risk factors, pathophysiology, anatomy, diagnosis steps, and management strategies in neurosurgery. Understand the importance of clinical history, examination, and investigations in determining the diagnosis for appropriate management and prognosis.

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PBL-2 NEUROSCIENCE

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  1. PBL-2NEUROSCIENCE Dr. Abdulrahman AL-Shudifat Neurosurgery Dept. Faculty of Medicine University Of Jordan

  2. Case Scinario • A 57 year old female patient Complaining of Right sided hemi paresis .Duration .Progression .Distribution .Risk factors .Associated symptoms

  3. Pathophysiology • Weakness means loss of power: Neuronal Muscular Functional • Paresis Vs Plegia • Upper motor neuron Vs Lower motor neuron

  4. Anatomy…….

  5. ARTERIES

  6. Remember… You look for diagnosis!!!!! Diagnosis will lead to…. MANAGEMENT & PROGNOSIS WHAT DO I NEED FOR DIAGNOSIS????

  7. STEPS….. .Knowledge .Clinical history .Clinical examination .Investigation .Diagnosis or Differential diagnosis .Management

  8. Type of CVA:

  9. Space occupying lesions

  10. Clinical History • Age Pediatric,Young,Elderly • Gender Male,Female • Duration Acute,Chronic

  11. Physical Examination • General Examination Rule out systemic disease • Neurological Examination Rule out other neurological deficits for localization

  12. Investigation • Lab test • Radiological( X-ray, CT ,MRI ,Angiogram ) • Specific neurological Investigations

  13. Management • Acute: -Medical -Interventional • Chronic: -Medical -Multidisplinary team

  14. CHOICES…..

  15. THANK YOU…..

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