Spinal Cord Compression Flashcards Preview

Jason's MD2 ED/Amb Rotation > Spinal Cord Compression > Flashcards

Flashcards in Spinal Cord Compression Deck (12):
1

spinal cord compression causes

tumour
degen - discs, OP, spondylosis
infection - IVDU
haematoma
developmental

2

two major presentating features of spinal cord compression?

pain
neurological deficit

3

classic presentation of cervical myelopathy?

upper limb lower motor neurone symptoms
lower limb upper motor neurone symptoms

4

spinal canal stenosis causes?

direct pressure
ischaemia or neural structures

5

red flag back pain plus neurological symptoms, what to do?

thoraco-lumbar MRI, cauda equina syndrome

6

what to watch out for if you suspect cauda equina in investigation?

IMAGE the T-spine for conus involvement!!!

7

T4
T7
T10

levels?

Nipple
xiphisternum
umbilicus

8

acute spinal cord compression features?

spinal shock and takes time to get upper motor normal symptoms
will get weakness

9

most common spinal area for metastasis?

thoracic
lumbar

10

IVDU with neck pain with neurological symptoms, look for what?

site of infection: teeth, injection site
neurological

11

who to watch out for epidural abcess besides IVDUs.

older ppl with comorbidities with vague spinal pain, perhaps from ulcers or other causes

12

3 ways spinal cord can be compressed?

extradural (80%)
intradural (15%)
intramedullary (less common-5%)