Spinal Cord Compression Flashcards Preview

Hugh's MD2 Core Conditions and Presentations > Spinal Cord Compression > Flashcards

Flashcards in Spinal Cord Compression Deck (18):
1

What is confusing about the neurological exam findings in acute spinal cord compression?

Initially can cause weakness due to spinal shock not the typical spasticity and UMN signs

1

What are common cancers that send off boney mets?

Lung

Breast

Prostate

Kidney

Thyroid

Lymphoma

Myeloma

 

1

At what level is the T4 dermatome?

Nipple

2

What are the pathology that cause spinal cord compression?

Malignancy - primary or met

Degenerative - disc prolapse, osteoporosis, spondylosis

Infection

Haematoma

Developmental

2

What is Brown-Seqard syndrome?

Contralateral reduction in pain and temperature sensation

Ipsilateral reduction in power, light touch, and vibration

3

What is the classic presentation of a cervical myelopathy?

LMN signs in UL

Spastic paraparesis (UMN signs) in LL

4

How is degenerative spinal canal stenosis surgically managed?

Posterior - Laminectomy

 

Anterior - Discectomy

- Vertebraectomy

6

What is the most common location of spinal abscesses?

Thoraco-lumbar

7

At what level is the T10 dermatome?

Umbilicus

8

What is spondylosis?

Denegerative changes to vertebrae that is typically secondary to OA

9

What is the most common cause of a cervical myelopathy?

Degenerative cervical canal stenosis

11

How does spinal cord compression typically present?

New back/neck pain

+ a neurological deficit

12

What needs to be ilicited on Hx for spinal cord compression?

Characterise the pain

Characterise any neurological deficit

Systemic symptoms

PHx - cancer, diabetes

Trauma

Bone health

13

From which compartments can compression of the spinal cord come from?

Extradural (80%)

Intradural/extramedullary (15%)

Intramedullary (5%)

15

What is the cause of neurological deficits in degenerative cervical canal stenosis?

Direct pressure on spinal cord

Ischaemia of neural structures

16

How is pain due to spinal cord compression typically described?

Diffuse

Dull 

Burning

17

When is surgery indicated for degenerative spinal canal stenosis?

When the disease is moderate to severe or the progressive

18

What are the DDx for a intradural lesion in a young person?

Schwannoma

Myxopapillary ependymoma

Dermoid or epidermoid cyst

Met