Neurology



un neurologue : a neurologist

Anatomy

les récepteurs :  the receptors

la gaine de myéline : the myelin sheath

les nœuds : the nodes

le système nerveux central : the central nervous system (CNS)

le tronc cérébral : the brain stem

le noyau : the nucleus

l’axone : the axon

les dendrites : the dendrites

le cerveau : the cerebrum

le cervelet the cerebellum

la moelle épinière : the spinal cord

les nerfs crâniens/ rachidiens : the cranial/ spinal nerves



General terms

la sensibilité the sensory function

la motricité the motor function

un influx nerveux a nerve impulse



Symptoms and diseases

céphalée headache

la migraine migraine

crise seizure/ fit

tics tics

perte de connaissance loss of consciousness

dépression depression

paralysie palsy/ paralysis

myoclonie myoclonus

tremblement tremor

somnolent drowsy

tonus tone

paresthésie paresthesia

perte d’équilibre loss of balance

hémiparésie hemiparesis

méningite meningitis

vertige vertigo

épilepsie epilepsy

sclérose en plaques multiple sclerosis (MS)

un AVC a stroke

un traumatisme a trauma

une tumeur cérébrale a brain tumour

la maladie de Parkinson Parkinson’s

la maladie d’Alzheimer Alzheimer’s

coma a coma

commotion cérébrale concussion

lésions cérébrales brain injuries



Investigations

analyse du liquide céphalorachidien (LCR) cerebrospinal fluid analysis (CSF)

ponction lombaire lumbar puncture/spinal tap

radiographie du crâne head X-ray

Electroencéphalogramme EEG

Scanner cérébral cerebral CT scan



Clinical examination

Would you describe the headache as pulsating or throbbing?

Does nausea accompany the headache?

Do you ever suffer from vertigo?

Did you faint? Vous êtes-vous évanoui?

Do you suffer from sensory hallucinations?

Can you recall any of the objects you have just seen?

Can you remember recent events?

Are you depressed?

Do you have decreased interest in daily life activities?

Have you ever suffered loss of speech?



Case reports

Question 1: Investigation of epilepsy

Options:

A. CT scan of the head

B. blood glucose

C. Lumbar puncture



For each case below, choose the SINGLE most discriminating investigation from the above list of options. Each option may be used once or more than once.



1. A 53-year-old obese man presents with sweating, tremor, drowsiness, fits and agitation. His wife denies any history of alcoholism. B



2. A 12-year-old girl is brought to the Accident and Emergency Department by her parents complaining of a persistent rash, photophobia, and neck pain. C



3. A 35-year-old mechanic has recurrent epilepticform attacks. He has no history of trauma. A



4. An 18-year-old student is brought to the Accident and Emergency Department by ambulance having been flung off his bicycle in a road traffic accident. Upon arrival, he is noted to have deterioration in consciousness. A



5. A 32-year-old boxer presents with headache, drowsiness, seizures, and a rising blood pressure. A





Give the neurological disease corresponding to the definition:



1) a disease marked by recurrent, uncontrollable, brief episodes of sleep : ___________________

2) A condition which includes involuntary movements, tics, use of foul words and respiratory disorders: ________________________

3) a disease where a person experiences progressive dementia due to nerve cell loss in specific brain areas: _________________________

4) A neurological disorder characterized by short, periodic attacks of motor, sensory, or psychological malfunction : ________________

5) A progressive destruction of the myelin sheaths of neurons in the central nervous system, short-circuiting conduction pathways: _____________

6) A progressive degeneration of the basal ganglia and substantia nigra of the cerebrum resulting in decreased production of dopamine that leads to tremor, slowing of voluntary movements, and muscle weakness: ____________________

7) Inflammation of the meninges: ____________________

8) Loss or impairment of motor function due to a lesion of nervous or muscular origin: _______________________



Translate in English:

1) Cette patiente souffre de sclérose en plaques depuis juillet. La gaine de myéline est endommagée, ce qui entraîne une paralysie progressive de ses membres.

2) Il était neurologue depuis 6 ans lorsqu’il a commencé à se plaindre de pertes d’équilibre, de conscience et de mémoire.