Brain Fart: Whats the name of this CVA symptom?

Yes Sir!
I long to hear you expound further on this subject! Research is your friend!

Goetz textbook of clinical neurology:

“Dysmetria refers to disturbance of the trajectory or placement of a body part during active movement, both in range and direction. Hypometria refers to a movement undershooting its target, and hypermetria indicates a movement in which the limb overshoots its goal.”

“Apraxia is a term that is applied to a diverse set of action disorders. However, this discussion will focus predominantly on limb apraxia. This term is defined as an inability to correctly perform skilled movements with the arms and hands in the absence of primary sensory or motor impairments that could account for this disability.”

AANN core curriculum of neuroscience nursing:

“Dysmetria:
a) inability to target a specific location
b) misses or goes beyond target
c) indicated cerebellar dysfunction
d) limb dysmetria against resistance is known as rebound”

“Apraxia: partial or complete inability to execute purposeful movement.”

Neither textbook has an entry for ‘dyspraxia.’

So, which definition comes closer to the description given by the OP?

Well. It may be one of these, you would know better. But check out ideomotor dyspraxia in relation to stroke, (rather than developmental). :wink2:

In ischemic stroke the head CT will initially be negative, then develop into hypodense areas after about 6 hours.

Negative head CT is one of the criteria for thrombolyitic therapy for ischemic stroke. If you wait for hypodense areas to appear, it's too late for thrombolysis.

Ooh-ooh-ooooh!" excuse my Horshack moment...
I resorted to my own research, sorry , I was forced by fate.
This is from Stroke Rehabilitation: a collaborative approach by Robert Fawcus
Bare with me, going to try to transpose this best I can...
Dyspraxia is the inability to perform certain purposeful movements even though motor power and sensation may be normal...It is frequently associated with dominant hemisphere lesions...
You know, even a blind squirrel without multiple text books can get a nut now and again...
I just liked the word.
just google this one, and see if it fits....

Peace!

I rarely 'Google' anything because there is too much bad information on the Internet and I have access to plenty of reliable sources.

So, you're a nursing assistant interested in neuro? Good! That's how I started.

My fascination with neurological disorders began when I was a CNA working in a nursing home where I saw lots of people who had had strokes as well as a few other less common disorders.

Are you now or are you planning to go to nursing school? I hope so, if you’re as ambitious as you sound. There’s always a need for competent neuro nurses.

If I may, let me give you a couple of resources to look at:

The American Association of Neuroscience Nurses Clinical Practice Guidelines include neuro assessment of the older adult, care of the patient with seizures, and care of the patient with stroke: http://www.aann.org/pubs/guidelines.html

If you’re really ambitious, as I hope you are, then you might want to peruse some of the articles from the Journal of Neuroscience Nursing: http://www.aann.org/ce/pdf/index.htm

As far as other resources on the web, the most reliable I have found is the National Institute for Neurological Disorders and Stroke: http://www.ninds.nih.gov

The Whole Brain Atlas is a lot of fun – if you’re at all interested in neuroanatomy: http://www.med.harvard.edu/AANLIB/home.html

Really interested in rehab...
The book I referenced was lay-friendly, but I think credible. More rehab oriented.
http://www.amazon.com/Stroke-Rehabil.../dp/0632049987
But, I just pulled the word dyspraxia out of the air, and then defended it for fun. I don't have a clue! I was shocked to find there was some credibility to it!
NO nursing for me.

Here you go!
heres an article from Randolph S. Marshall, MD, MS Basic and Clinical Neurosciences (29th annual Postgraduate review) on Higher Cortical Functions.
Is this credible?
Dyspraxia is an impairment in the execution of a motor act in the absence of primary weakness, sensory loss, or incoordination. When evaluated, patients with dyspraxia do not demonstrate any hemiparesis, sensory loss, or motor incoordination. Yet they are unable to execute motor acts, whether simple or complex. Dr Marshall distinguishes between several types of dyspraxia and apraxia. Ideomotor apraxia (or dyspraxia) is the inability to integrate basic sensory motor elements to achieve a simple motor goal, such as using scissors. Ideational apraxia is the inability to combine simple motor elements to achieve a complex or sequential motor act. For example, patients may have difficulty with complex acts, like dressing, which require executing tasks in a particular order. Constructional apraxia involves the inability to produce a mental image of an object in order to reproduce it on paper.

Often dyspraxia is associated with aphasia, which complicates evaluation and diagnosis. If a physician asks a patient to pantomime scissors, they may fail either because they do not comprehend the request (sensory aphasia) or lack the ability to execute the task (dyspraxia). This problem can be mitigated by having patients simply imitate a gesture that does not require the comprehension of language.


Sorry if you thought I was being aggressive (peace?) I just am interested, and like ideas.

Rehab's cool. I worked rehab as a nursing technician - it's hard work, but it's REAL nursing.

Another reason why I am hesitant to Google neurlogical topics is that half the time the majority of hits come from "Neuro Law" sites; id est, personal injury lawyers.

Hey, I don't know where you are, but give nursing school some thought.