Jamir Pitton Rissardo Profile picture
Dec 2, 2022 20 tweets 10 min read Read on X
Jack-in-the-box tongue!!!

“The English Hippocrates”

English physician Thomas Sydenham (1624 – 1689)
discovered Sydenham's chorea

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/
Pathophysiology

“combination of chorea & motor impersistence”



2/
Definition

“unable to maintain tongue in protruded state and the tongue moves in and out”

3/
Also known as

-jack-in-the-box, chorea
-flycatcher tongue, tardive dyskinesia
-‘bon-bon’ sign, tongue alternately pushes against the buccinator
-trombonist’s tongue, chronic alcoholism
-other: lizard tongue, chameleon tongue, snake tongue, adder tongue, harlequin tongue

4/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

via: Neurology Made Interesting

5/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

via: Rakanuzzaman Neuro Academy

6/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

youtube.com/shorts/a_lIlZX… via: Tony scaria

7/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

youtube.com/shorts/hSkc43c… via: Medscribe

8/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

youtube.com/shorts/hSkc43c… via: Medscribe

9/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

via: Dr. Abhijit Gadewar

10/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

via: Dr Khan Medics

11/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning
via: Tech, Med & More

12/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

youtube.com/shorts/t_CzX6F… via: Dheeraj Anupa

13/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

via: Dr. Prodigious

14/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

youtube.com/shorts/vRGaDda… via: DocAsim

15/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

via: Dr. Prodigious

16/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

via: Everest

17/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

- chorea
- motor impersistence
- positioning & compensatory repositioning

via: Dove Medical Press

18/
Jack-in-the-box tongue

“unable to maintain tongue in protruded state and the tongue moves in and out”

Videofluoroscopic swallow in HD
- look at tongue movements

via: Karen Sheffler

19/

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Jan 26, 2023
Diencephalon location
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The cavity of the diencephalon is ----- the 3rd ventricle
All of the structures of the diencephalon are around the 3rd ventricle, so the cavity of the diencephalon is the 3rd ventricle.

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Diencephalon embryology

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The Examination in Coma

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American neurosurgeon Harvey Williams Cushing (1869–1939)

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/ Image
Definition

“a state of unarousable unresponsiveness”

Parts
a. level of consciousness
b. vital signs (BP & breathing pattern)
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d. motor & sensory
e. reflex
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2/
Level of consciousness

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Dec 26, 2022
Drifts!!!

French neurologist Jean Alexandre Barré (1880–1967)

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/
The four types of drift

“pronator, cerebellar, parietal, and functional”

- pronator drift (pyramidal drift) was the 1st to be described
- Dr. Barre was the 1st to report it

2/
Pronator drift (Barre’s sign)

progress from distal to proximal

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3/
Read 18 tweets
Dec 22, 2022
Brachial plexus!!!

“Erb-Duchenne palsy, Erb-Charcot paralysis, Erb's point, Erb-Westphal symptom, Erb's spot”

German neurologist Wilhelm Heinrich Erb (1840–1921)

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/
Components

“Ready To Drink Cold Beer”

Root (5): C5-T1
Trunk (3): upper, middle, lower
Division (6): anterior & posterior from each of the trunks
Cord (3): lateral, posterior, medial
Branch (5)

2/
How are roots formed?

“formed by the anterior (ventral) rami of C5 to T1 spinal nerves”

Extent
- interscalene triangle (bounded by anterior scalene and middle scalene)

3/
Read 24 tweets
Dec 21, 2022
Signs of tetany!!!

“Trousseau sign of malignancy, Trousseau sign of latent tetany, Trousseau–Lallemand bodie”

French internist Armand Trousseau (1801–1867)

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/
Definition

Tetanus
- it is different disease w/ different pathology

Tetanic contractions (physiologic tetanus)
- broad range of muscle contraction types

Tetany
- a type of tetanic contraction

2/
Clinical manifestations of tetany

“spasm and tonic contractions of the skeletal muscles, principally the distal muscles of the extremities”

3/
Read 25 tweets
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Meningeal signs

“Brudziński neck sign, Brudziński symphyseal sign, Brudziński cheek sign, Brudzinski's reflex”

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#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/
Definitions

Meningitis
-inflammation of leptomeninges & underlying subarachnoid CSF

Meningismus
-morbid state characterized by meningitic syndrome (triad: headache, photophobia, nuchal rigidity)

Meningism
-synonymous of meningismus
-neck stiffness w/o meningeal inflammation
2/
Mechanism

“maneuvers used to elicit meningeal signs produce tension on inflamed and hypersensitive spinal nerve roots, and the resulting signs are postures, protective muscle contractions, or other movements that minimize the stretch and distortion of the meninges and roots”

3/
Read 27 tweets

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