Spinal Cord and Root Dysfunction Flashcards

1
Q

spinal cord dysfunction presents with what symptoms?

A
pain
sensory disturbance
weakness
sphincter dysfunction
sexual dysfunction
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2
Q

if the arms are involved, what area of the spinal cord is the problem likely to be in?

A

cervical levels

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3
Q

how could you decifer if the problem is in the thoracic region?

A

arms not/minimally involved

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4
Q

a problem in the lumbar spinal cord will not present with UMN features T or F

A

T

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5
Q

how could you tell if the problem is in the lumbar spine?

A

only legs involved

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6
Q

cervical and thoracic spinal cord problems will present with what motor neurone features?

A

UMN

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7
Q

tone is increased in UMN/LMN?

A

UMN

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8
Q

brisk reflexes suggest….

A

an UMN lesion

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9
Q

clonus is present in UMN/LMN

A

UMN

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10
Q

a patient with a/an _MN lesion will dorsiflex their foot

A

UMN

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11
Q

a patient with a/an _MN lesion will plantarflex their foot

A

LMN

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12
Q

fasciculations are present with what motor neuron problem?

A

LMN

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13
Q

describe the level of muscle atrophy experienced in UMN and LMN lesions

A

UMN - none/late

LMN - early atrophy

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14
Q

most common disc to prolapse?

A

C7

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15
Q

an UMN lesion signifies a problem where?

A

cerebral hemispheres
cerebellum
brainstem
spinal cord

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16
Q

a LMN lesion signifies a problem where?

A

anterior horn cell
nerve roots
peripheral nerves
muscles

17
Q

spasticity is a sign of,,,,

A

an UMN lesion

18
Q

if a patient has peripheral sensory loss is it an UMN or LMN lesion?

19
Q

if a patient has normal nerve conduction on EMG, is it likely to be an UMN or LMN lesion?

20
Q

a disc prolapse will cause _MN lesions; why is this?

A

LMN

disc will compress the nerve root which is a component of the LMN system

21
Q

main symptoms of thoracic disc prolapse?

A

thoracic pain

myelopathy

22
Q

main symptoms of lumbar disc prolapse?

A

leg pain

LMN symptoms

23
Q

where is the pain in spinal claudication?

A

back of thighs and calves

24
Q

leg pain is often _lateral in cauda equina

25
GU symptoms of cauda equina?
perianal sensory loss genital numbness erectile dysfunction painless retention with incontinence
26
"numb clumsy hands"
cervical myelopathy
27
cervical myelopathy is usually _lateral
bi
28
cervical myelopathy presents with _MN symptoms
UMN
29
risk factors for failed back syndrome
diabetes smoking high BMI
30
define failed back syndrome
chronic back pain following surgery causing recurrent, residual nerve compression
31
Tx of failed back syndrome
physio NSAIDs antidepressants