Neurology RITE – Dr. Hart’s FC – Flashcards
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Presenilin 2 (Chromosome)
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Chromosome 1
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Paternal Transmission of Chromosome 15
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Prader-Willi
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Voltage gated Sodium Channel Myotonia of eyelids, face, and hands
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Paramyotonia Congenita
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Motor Regression, cherry red spot, optic atrophy to blindness, severe retardation, seizures Decreased hexosaminidase A Chromosome 5/15
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Tay-Sachs (GM2 Gangliosidosis)
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Recurrent infections with B cell neoplasia Chromosome 11 affected
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Ataxia-Teleangectasia
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Birefringent Ca Oxalate and oxalic acid in urine
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Ethylene Glycol toxicity
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Pseudoperiodic high voltage sharp and slow waves
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EEG findings with CJD
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Reduces the function of B12
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NO Toxicty
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High-voltage polyphasic sharp and slow wave complexes of 0.5 to 2 second duration that recur every 4-15 seconds
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EEG fingins with SSPE
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Mechanism of Tetrodotoxin
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Blocks Sodium Channels
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Malabsorption, peripheral neurolopathy, pigmentary retinopathy Treated with Vitamin E
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Bassen-Kornzweig
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Palatal Neuropathy 10% Develop defuse sensorimotor polyneuropathy 8-12 weeks after infection Increase protein in CSF
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Diptheira
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Dopamine refractory parkinsonism and dystonia, associated with liver disease Globus Pallidus and midbrain increased on T1
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Manganese Intoxication
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Astrocytic Tumor (Chromosome/gene)
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Chromosome 17 P53 gene
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Mechanism of Lathyrus toxicity (alpha-amino-beta-oxalaminoproprionic acid)
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Glutamate Toxicity
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Retinoblastoma (Chromosome/gene)
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Chromosome 13 pRB gene
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Latrotoxin (Source/mechanism)
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Black Widow Venom Releases acetylcholine
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Dopamine Responsive Dystonia (Chromosome)
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Chromosome 14
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Kugelberg-Welander (SMA type/Chromosome)
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SMA Type III Chromosome 5
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Charcot Marie Tooth Disease 1 (Chromosome/gene) Hereditory motor and sensory neuropathy 1 (Chromosome/gene)
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Chromosome 17/PMP-22 Chromosome 1/ P0
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Familial Hemiplegic Migraine (Channel/Chromosome)
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P/Q Calcium Channel Chromosome 19
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Pyramidal signs, peripheral neuropathy Autosomal dominant 6 CAG trinucleotide repeat
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Spinocerebellar Degeneration Type I
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Associated wiht Meningioma, schwanoma, glioma Chromosome 22
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NF 2
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Hemangioblastoma of CNS (cerebellum and retina) Associated with pheochromocytoma and renal cancer
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Von Hipple-Lindau
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"Rod bodies" Static muscle weakness, congenital hypotonia Autosomal dominate when on Chromosome 1 (most common) Autosomal Recessive when on Chromosome 2
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Nemaline Myopathy
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Infantile Onset SMA Type 1 SMN Gene Chromosome 5
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Werdnig-Hoffman
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Progressive external opthalmoplegia pathology
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Mitochondrial Ragged Red Fibers
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Voltage Gated sodium channel Autosomal Dominant on Chromosome 17 Treatement with Carbonic anhydrase inhibitors
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Hyperkalemic periodic paralysis
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Subacute necrotizing encephalopathy, respiratory disturbance, abnormal ocular motility, hypotonia Brainstem and 3rd ventricle lesions Decreased cytochrome C oxidase, mitochondrial dysfunction Autosomal recessive or X
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Leigh's Syndrome
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Phosphofructokinase deficiency Decreased myophosphorylase Chromosome 11 Cramps with exercise, mild weakness Subsarcolemmal Blebs
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McArdle's Disease
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Dihydropyridine receptor mutation (Voltage cated calcium channel) Autosomal Dominant Chromosome 1 Treatment with Potassium and carbonic anyhydrase inhibitors
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Hypokalemic Periodic Paralysis
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"Happy Puppet" Maternal transmission of chromosome 15
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Angelman Syndrome
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Spreading limpness on stiffness, hand myokymia, continuous motor unit activity on EMG Potassium channel gene Chromosome 12 Treatment with Acetazolamide or Phenytoin
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Episodic ataxia - 1
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Delayed motor development, involuntary movements, compulsive self mutilation Decreased hypoxantine guanine phosphorribosyltransferase Increased uric acid Chromosome X
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Lesch-Nyhan
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Ataxia, retinitis pegmentosa, icthyosis Decreased phantic acid oxidase
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Refsum's Disease
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Ataxia, spasticity, optic atrophy, dementia, decreased MSR Lysosomal enzyme disorder Decreased aylsulftase A Chromosome 10
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Metachromatic Leukodystrophy
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Muscle stiffness (painless and worsened by cold) and hypertrophy Chloride channel Chromosome 7 Treatement with mexiletine, phenytoin, carbamazepine
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Myotonia congenita
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Peripheral involvement Van Recklinghausen Chromosome 17
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NF 1
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A form of spinocerebellar ataxia 6 Chromosome 19 half have migraines P/Q Calcium channel Treatment with acetazolamide
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Episodic Ataxia - 2
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Lyposomal enzyme disorder Decreased galactosylceramide beta galactosidase Chromosome 14 Onset at 3 to 6 months Progressive increased tone, decreased MSR, startle myoclonus, seizures, blindness, and slow development
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Krabbe's Leukodystrophy
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Acute infantile form Cherry red macula, hepatosplenomegaly, mental deterioration (psychomotor regression), postural hypotonia Decreased sphingomyelinase Vacuolated lymphocytes
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Niemann-Pick Type A
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Myotonia, facial and distal weakness, multiple endocrinopathies, temporal, masseter, and SCM wasting, distrubed GI motility 19 CTG trinucleotide repeat
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Myotonic Dystrophy
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Eponyms for Neuronal Ceroid Lipofuscinosis
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Santavuori-Haltia - 6-12 months on Chromosome 1 Jansky-Bielschowksy - 2-3 years on Chromosome 11 Batten or Speilmeyer-Vogt - 4-12 years on Chromosome 16
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Ataxia, dysarthia, decrease MSR, + babinski, decreased vibration sense, hypertrophic cardiomyopathy Frataxin 9 GAA trinucleotide repeat
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Friedreich's Ataxia
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Progressive dementia, hypotonia, ataxia, seizures (myclonus) Abnormal VEP and later blindness Lipofuscin strored in neurons
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Neuronal ceroid lipofuscinosis
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Dystonia, athetosis, rigidity, LMN signs and ataxia 14 CAG trinucleotide repeat
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Spinocerebellar Atrophy Type 3 (Machado-Joseph)
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Tuberous Sclerosis (Chromosome/Product)
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Chromosome 9, 16 Hemartin
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Narcolepsy (Chromosome)
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Chromosome 6
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Early onset primary dystonia DYT1 (Chromosome)
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Chromosome 9
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Amyloid Precursor Protein (Chromosome)
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Chromosome 21
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Apoplipoprotein E (Chromosome)
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Chromosome 19
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Alzheimer's - Late, familial (Chromosome)
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Chromosome 19
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Alzheimer's - Early, familial (Chromosome)
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Chromosome 14, 21
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Spastic Paraplegia (Chromosome)
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Chromosome X
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William's Syndrome (Chromosome)
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Chromosome 7
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Frontotemporal Dementia (Chromosome)
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Chromosome 17
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Wilson's Disease (Chromosome)
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Chromosome 13
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Acute Intermittent Porphyria (Chromosome)
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Chromosome 11
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CJD - Familial Gerstman-Schenker-Strauss (Chromosome)
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Chromosome 20
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Familial ALS (Chromosome)
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Chromosome 21