Brain Fart: Whats the name of this CVA symptom?

[megananne7]

I know a lot of CVA patients have difficulty with the task of reaching for objects, and instead of grabbing the object, they attempt to grab to either side of the object... or when attempting to feed themselves, they may miss their mouths and go to the left or right of their mouth.

[EricJRN, MSN, RN]

I think it's called spatial sense.

Proprioception and spatial sense are concepts that are closely related to dysmetria. Good call.

[aeauooo]

dysmetria: an aspect of ataxia, in which the ability to control the distance, power, and speed of an act is impaired. Usually used to describe abnormalities of movement caused by cerebellar disorders. See also hypermetria, hypometria. [dys- + G. metron, measure]

Steadman's Medical Dictionary

Free neuroscience nursing CE through May at www.aann.org!

[chadash]

dyspraxia?

[aeauooo]

dyspraxia?

dyspraxia: Impaired or painful functioning in any organ. [dys- + G. praxis, a doing]. Steadman's

[chadash]

dyspraxia: Impaired or painful functioning in any organ. [dys- + G. praxis, a doing]. Steadman's

I think that definition implies less than dyspraxis covers. Dyspraxis from stroke can effect the execution of simple motor task without hemiplegia for instance. So, impaired motor function/disconnect in this case.

Oops! you are a 16 year neuro nurse....what the h*** do I know!

[aeauooo]

Oops! you are a 16 year neuro nurse....

...and a CNRN to boot.

[chadash]

...and a CNRN to boot.

Whoo HOO!

Might look beyond stedmans, though...

[aeauooo]

Whoo HOO!

Might look beyond stedmans, though...

Would you like to know what else is on my bookshelf?

[chadash]

Would you like to know what else is on my bookshelf?

Yes Sir!

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

[aeauooo]

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?

[chadash]

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:

[megananne7]

Dysmetria seems like it means grabbing in front of or behind the objects, rather than to the left or right of an object.

BTW, my patient had a STAT CT and it was negative other than older CVAs/surgery... But the CNA who was familiar with the patient even pointed out to me today the patient still seemed different to her.