Coda Change Signs of neurological badness
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Nov 15, 2020 Tune in as Brandon Foreman unveils the top 10 signs of neurological decline. Discover how lateral gaze can indicate stroke damage and learn about inattention's clinical implications. Fluent aphasia may masquerade as psychosis—find out how to differentiate them. He discusses the causes behind painless leg weakness and the importance of monitoring a tense craniotomy flap. Plus, explore the significance of stiff legs, skew deviation, and the role of seizures as vital symptoms rather than standalone diseases. A must-listen for those intrigued by neurology!
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Eye Direction Localizes Cause
- For lateral gaze, look toward the side of the lesion to localize stroke.
- For seizure, eyes look away from the seizure focus so 'look at your lesion.'
Inattention Signals Serious Neurological Change
- Inattention can signal delirium or structural frontal-lobe problems like hydrocephalus.
- Test daily with simple tasks (months backward or counting down) to detect change early.
Recognize Fluent Aphasia Not Psychosis
- Consider fluent aphasia when patients speak rapidly but produce nonsensical or unrepeatable speech.
- Test for subtle motor signs (drift, Babinski) and ask to repeat or name to distinguish from psychosis.