Week 7: Neurological Conditions Flashcards
(12 cards)
What is myelopathy?
-usually cervical spine
-Compression on the spinal cord in the central canal can be caused by central stenosis
What causes myelopathy?
-central disc herniation, age related change, trauma, spondylolisthesis and ligament thickening
What is the signs and symptoms for myelopathy?
-gait disturbances, fine motor skill and co-ordination, hyper-reflexia, possible neck pain , possible bladder and bowel disturbances
What is risk factors for myelopathy?
-older age, degenerative changes, stenosis, rheumatoid arthritis, trauma, upper cervical instability
What is the management for myelopathy?
-conservative or surgical
What is the signs and symptoms of CES?
-retention of urine
-loss of anal tone
-saddle anaesthesia
-sexual dysfunction
-bilateral leg pain
What is radiculopathy?
-a change in neurological function from nerve root compression, irritation or sensitivity
What is the sign and symptoms for radiculopathy?
-normally cervical- arm symptoms or lumbar - leg symptoms
-pain in dermatomal disturbance
-sensory symptoms in dermatome
-reflex changes
-motor loss in the relevant nerve root compression
What is peripheral nerve entrapment/irritation?
-an area in the peripheral nerves in which the nerve can become irritated
-can be located at an ‘interface’ or area in which the nerve passes through a small anatomical space
Signs and symptoms for peripheral nerve irritation?
-may give sensory symptoms
-sensory, motor or both
What is the management for peripheral neuropathies ?
-physiotherapy
-ROM,strength, function
-potential surgery
What are the investigation for neural conditions?
Myelopathy- full spine MRI
Radiculopathy- MRI of local region
Peripheral nerve entrapment- EMG studies
