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Neuro
CVA and SCI
| Question | Answer |
|---|---|
| Characteristics of left hemisphere CVA | weak/paralysis of R side frustration aphasia dysphagia motor apraxia decrease discimination R vs L |
| Characteristics of a right hemi CVA | weak/ paralysis L side decreased attention span poor judgement/ awareness memory deficits left neglect emotional lability impulsive |
| Characteristics of a brainstem CVA | unstable vitals decrease consciousness can't swallow weak on both sides paralysis on both sides |
| Characteristics of a cerebellum CVA | decreased balance ataxia decreased coordination nystagmus decreased ability for postural adjustment |
| Primary risk factors for CVA | HTN cardiac disease DM II Cigarettes TIA |
| Secondary risk factors for CVA | obesity high cholesterol behaviors related to HTN (stress, salt) physical inactivity increase ETOH |
| MOI of Anterior Cord Syndrome SCI | cervical flexion |
| MOI Brown-Sequard's Syndrome SCI | (lateral cord) Stab wound |
| MOI Cauda Equina Injuries SCI | an injury that occurs below the L1 level |
| MOI Central Cord Syndrome SCI | cervical hyperextension |
| MOI Posterior Cord Syndrome SCI | compressions of posterior spinal artery |
| Characteristics of Anterior Cord Syndrome | loss of motor fxn pain/ temp loss below lesion due to damage of the corticospinal and spinothalamic tracts |
| Characteristics of Brown-Sequard's Syndrome | paralysis loss of vibratory and position sense on same side as lesion (damage to corticospinal tract and dorsal columns) loss of pain and temp sens on opp side (damage of lateral spinothalamic tract) |
| Characteristics of Cauda equina injuries | peripheral nerve injury flaccidity areflexia impairment of bowel and bladder |
| Characteristics of Central Cord Syndrome | UE > LE involvement motor deficits > sensory |
| Characteristics of Posterior Cord Syndrome | loss of pain perception loss of proprioception loss of 2 point discimination loss of stereognosis motor function preserved |
| ASIA A | Complete: no sensory or motor function in sacral segments S4-5 |
| ASIA B | Sensory Incomplete: sensory preserved not motor below the neurological level extends S4-5 |
| ASIA C | Motor Incomplete: motor preserved below neurologic level, most key mm below <3 |
| ASIA D | Motor Incomplete: motor preserved below neurologic level, most key mm below <3 |
| ASIA E | Normal: sensory and motor functions normal |
| Potential complications with SCI | DVT Ectopic Bone OH Pressure Ulcers Spasticity |
Created by:
hgiertych
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