Myelopathies

Question 1

Traumatic myelopathy

Answer 1

Spinal shock -> flaccid LMN -> after 2wks LMN up and UMN down. spasm.

Tx: corticosteroids+immobilization

Question 2

Central cord synd

Answer 2

פגיעה בעיקר בגפיים עליונות אך גם בתחתונות.

אצירת שתן.

Question 3

MS Dx and Tx

Answer 3

Dx:
MRI: flair @ T2, 
CSF: OCB @ 90%
Evoked potentials
Vision fields

Tx:
Flare: Steroids
Modifying: Ifb, Copaxon, Natalizumab (TISABRI), Gilenia.

Question 4

Adem

Answer 4

After varicela/mumps.
one acute monphasic flare.

Dx: CSF Monoclonal, MRI: inflamed lesions
Tx: Steroids, IVIG, PP.

Question 5

Ademcovich syndrome

Answer 5

infarction of anterior spinal artery - no harm to post column

Question 6

syringomyelia

Answer 6

גלימה

שורף בידיים אחר כך אי תחושה ברגליים