SCI - Guest Lecture (Mixed)

Question 1

Type of Lesion: Affects medially located motor fibers that control distal UE function. Also characterized by greater UE weakness compared to LE weakness and sacral sparing

Answer 1

Central Cord Syndrome

Question 2

Secondary Condition Sx:

• Headache
• Sweating
• Nasal congestion
• Goosebumps
• Paresthesias

Answer 2

Autonomic Dysreflexia

Question 3

Key Muscle Group: C5

Answer 3

Biceps

Question 4

Key Muscle Group: S2-S5

Answer 4

Sensory level

Sphincter tone

Question 5

Key Muscle Group: L4

Answer 5

Ankle DF

Question 6

Key Muscle Group: C6

Answer 6

Wrist Extension

Question 7

Term: SCI from T1/T2 down

Answer 7

Paraplegia

Question 8

Secondary Condition Sx:

• Reduction in functional capacity
• Decrease in motor function
• Pain

Answer 8

Syringomyelia

Question 9

Key Muscle Group: C7

Answer 9

Triceps

Question 10

Type of Lesion: Characterized by loss of funciton of the ventral pathway and the conservation of the dorsal column

Answer 10

Anterior Cord Syndrome

Question 11

Key Muscle Group: C1-C4

Answer 11

Diaphragm and sensory

This level is determined by sensory function/lack of function

Question 12

Type of Lesion: Characterized by preservation of light touch, proprioception, deep pressure and absence of pain and motor function

Answer 12

Anterior Cord Syndrome

Question 13

Type of Lesion: Characterized by LBP, radicular pain, LE paresis/paralysis, sensory deficit in the perineal area, bowel/bladder dysfunction, diminished/absent patellar and achilles reflexes

Answer 13

Cauda Equina Injury

Question 14

Term: A tapered fluid filled cavity within the SC that may extend for multiple levels

Answer 14

Syringomyelia

Question 15

Key Muscle Group: L3

Answer 15

Knee extensors

Question 16

Type of Lesion: Charaterized by a central area of injury

Answer 16

Central Cord Syndrome

Question 17

Key Muscle Group: T1

Answer 17

Small finger ABD

Question 18

ASIA Level: D

Answer 18

Motor Incomplete

Motor function preserved below neurological level of injury

at least 1/2 of key mm below neurolgoical level of injury are 3/5 or greater

Question 19

ASIA Level: C

Answer 19

Motor Incomplete

Motor function preserved below neurological level of injury

> 1/2 of key mm below neurolgoical level of injury are < 3/5

Question 20

Key Muscle Group: C8

Answer 20

Finger Extensors

Question 21

ASIA Level: A

Answer 21

Complete

NO motor or sensory function preserved from S4-S5

Question 22

Type of Lesion: Characterized by damage that affects one half of the spinal cord significantly greater than the other half

Answer 22

Brown Sequard Syndrome

Question 23

Key Muscle Group: L2

Answer 23

Hip flexors

Question 24

ASIA Level: B

Answer 24

Sensory Incomplete

Sensory, but NO motor funciton below neurological level of injury

S4-S5 INTACT

Question 25

Type of Lesion: Characterized by spastic paresis, loss of light touch and vibration on the damaged side. Loss of pain and temperature sensation on the contralateral side two levels down

Answer 25

Brown Sequard Syndrome

Question 26

Key Muscle Group: L5

Answer 26

Big toe extensors

Question 27

Type of Lesion: Less functional recovery compaired to other incomplete lesions

Answer 27

Anterior Cord Syndrome

Question 28

Key Muscle Group: T2-L1

Answer 28

Sensory level