Wednesday, June 18, 2014

Focal Signs in Neurology

Focal Signs in Neurology
There are a range of injuries and symptoms that can arise from concussions and other forms of brain damage in Boston. Concussion treatment often depends on what injuries or deficits have arisen as a result of the injury. Brain damage in Boston can be either diffuse or focal in nature. Focal signs indicate damage in a particular part of the brain, such as a lesion left in the wake of a stroke. Focal signs are of particular interest in neurology; much of what is now known about the function of the lobes of the cerebral cortex was learned by observing what goes wrong when certain areas are damaged. The effects of a focal brain lesion can vary substantially depending on what area of the brain is affected. 

Frontal Lobe Signs in Neurology

The frontal lobes of the brain are associated with executive function, which includes planning, reasoning, motivation, and impulse control. They are also associated with some motor functions. Frontal lobe signs associated with brain damage or injury often include either executive function deficits or motor deficits. Some well-known frontal lobe signs include:

·         Unsteady gait
·         Hypertonia, or abnormal muscular rigidity
·         The paralysis of a limb on one side of the body, opposite to the side of the brain that was injured
·         Paralysis of head and eye movements
·         Expressive aphasia, also called Broca’s aphasia, which is an inability to express oneself with language despite retaining language comprehension abilities
·         Seizures
·         Personality changes, such as abnormal impulsivity
·         Loss of smell
·         Frontal release signs, or the reappearance of primitive reflexes 

Parietal Lobe Signs in Neurology

The parietal lobes integrate sensory information, including navigation and sense of space. Parietal lobe signs in neurology may include:

·         Impaired sense of touch
·         Impaired proprioception, awareness of the body’s location and movement in space
·         Sensory or visual neglect syndromes, in which part of the body’s visual field, proprioception, or other sense is impaired
·         Loss of ability to read, write, or perform mathematical operations
·         Astereognosia, loss of the ability to recognize objects by touch 

Temporal Lobe Signs in Neurology

Temporal lobe signs in neurology often involve deficits in memory or auditory processing. Such deficits often include:

·         Cortical deafness, loss of ability to hear despite the ears themselves being intact
·         Tinnitus, or ringing in the ears
·         Auditory hallucinations
·         Loss of ability to comprehend language (Wernicke’s aphasia) or music (amusia)
·         Memory disturbances
·         Amnesia
·         Complex hallucinations
·         Complex partial seizures 

Occipital Lobe Signs in Neurology

Occipital lobe signs in Boston generally produce deficits in visual capabilities. The occipital lobe is functionally divided into several areas that process different aspects of vision. Signs of occipital injury often include:

·         Cortical blindness, a total loss of vision even though the eyes themselves are functioning normally
·         Anton’s syndrome, a total loss of vision of which the person is not aware
·         Loss of vision on one side of the visual field in both eyes (hemianopsia)
·         Inability to recognize faces, objects, or other visual information (visual agnosias)
·         Visual illusions
·         Visual hallucinations 

Limbic Signs in Neurology

The limbic system is a complex set of brain structures located in the midbrain, below the cortex. This includes the hypothalamus, hippocampus, amygdala, and other structures. This region of the brain is associated with memory and with emotional regulation. Limbic signs in Boston may manifest as:

·         Retrograde amnesia, a loss or confusion of long-term memory prior to the injurious event
·         Anterograde amnesia, an inability to form new memories
·         Loss of emotion
·         Loss of olfactory function
·         Loss of decision-making ability 

Cerebellar Signs in Neurology

Signs of cerebellar injury or dysfunction in Boston generally affect the sense of balance and coordination. This may include:

·         Ataxia, impaired movement of the limbs or torso
·         Inability to coordinate fine motor activities

·         Involuntary left-eye movements

NEUROFEEDBACK IN BOSTON FOR BRAIN INJURY

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