Spinal Cord Injuries

Question 1

Brown Sequard Syndrome causes signs management

Answer 1

causes:
injury

signs:
ipsilateral UMN weakness below lesion
ipsilateral loss of dorsal column below lesion
contralateral loss of spinothalamic column below lesion

management

Question 2

Subacute Combined Degeneration of cord causes signs management

Answer 2

causes:
VB12 deficiency

signs:
corticospinal and dorsal tracts affected bilaterally
rombergs test positive

management:
B12 injections

haematological picture can still be normal

Question 3

Syringomelia

Answer 3

signs:
bilateral spastic paralysis
bilateral loss of spinothalamic tract in neck, shoulders, arms area
Dorsal spared

management:
shunt

associated with Arnold chain malformation

Question 4

anterior spinal artery occlusion

Answer 4

signs:
bilateral spastic paralyisis
bilateral loss of spinothalamic column
hypotension

Question 5

Friedrich’s Ataxia

Answer 5

same as subacute combined degeneration of cord but other manifestations