(46) Spinal Cord Syndromes Flashcards Preview

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Flashcards in (46) Spinal Cord Syndromes Deck (11):
1

lesions to the spinothalamic tract result in

+ babisnki; hyperflexia; weakness (=difficulty walking)

2

key presenting sensory features of brown sequard

contralateral pain and temp insensitive
ipsilateral loss of proprioception and vibration
ipsilateral weakness and + Babinski/hyperreflexive below lesion and LMN flaccid paralysis AT level of lesion

3

drug given as protocol to pts with spinal cord injury

methylpredisolone

4

dumbell shaped mass on spine seen on MRI

nerve sheath tumor (schwannoma/neurofibroma)

5

which spinal cord tract is usually first affected in a central cord lesion? how would this manifest?

spinothalamic = loss pain and temp across trunk (later stages is when the loss moves down the legs)
= cape

**it is the most central tract = EARLY sign

6

presentation of ASA syndrome

intact DC-ML = maintiain proprioception/vib sense

loss of pain and temp bilaterally and loss of motor bilaterally

7

flaccid paralysis + complete sensory loss + urinary retention =

cord shock/acute spinal injury

8

tracts affected by B12 def and the presentation

DC-ML and CST
bilateral loss of vib and position
bilateral spastic paralysis
BEEFY tongue

9

HAM/TSP pts are infected with ___ which causes ___ and presented as ____

HTLV-1 causes demeylination (DC > PC)and axonal degeneration presentiang as loss of vib and postion sense > spastic paralysis

10

who gets vacuolar myelopathy and how does it presents

late stage AIDS

demeylination of DC and lateral columns --> spastic paralysis, and loss of vib/position sense (~B12 def)

11

neuro-complication of the shyph

tabes dorsalis (DC dysfunction)