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Syndromes Inc SCI

Neuro Exam

QuestionAnswer
Most common incomplete SCI. Often caused by hyperextension injury and damage to center of cord Central Cord Syndrome
Frequently seen in older pts with degenerative bony changes in cervical spine resulting in narrowing of overall diameter of spinal cord Central Cord Syndrome
Tracts in center of cord lead to _________ extremities Upper
Tracts in lateral are of cord lead to _______ extremities Lower
With Central Cord Syndrome, greater loss of motor and sensory function in _______ extremities - good prognosis. What sensations are felt? Upper; Numbness, tingling
Caused by direct injury of anterior portion of spinal cord or disruption of anterior spinal artery resulting in ischemia and infarction Anterior Cord Syndrome
Often d/t compression from either a disc herniation or from a hyperextension injury resulting in fracture/dislocation of vertebra Anterior Cord Syndrome
Causes paralysis, loss of pain and temp sensation below level of injury Anterior Cord Syndrome
Light touch and position sense are preserved. These tracts are located in the _______columns Dorsal
Variable prognosis, generally not favorable Anterior Cord Syndrome
Syndrome occurs with injury to half the spinal cord. Usually form penetrating causing transverse hemisection of spinal cord Brown-Sequard Syndrome
Syndrom of paralysis and loss of position sense on ipsilateral side of injury as motor and proreception do not cross spinal cord as they travel to the brain Brown-Sequard Syndrome
Sydrome which pain and and temp sensation loss on contralateral side as spinal tract for conveyance of pain and temp do cross to opposite side of cord. Recovery is variable Brown-Sequard Syndrome
Compression of nerve roots at lumbar area below L1. Commonly seen with large disk herniations at L4/5. Deficits can involve motor and sensory functions of pelvic organs and lower extremities Cauda Equina Syndrome
With this syndrome, pts may experience weakness/paralysis, sensory deficits, bowel and bladder dysfunction. Recovery variable. Cauda Equina Syndrome
Alteration in bowel and bladder function is an indication this syndrome is getting worse. Notify Dr. Pt may need? Cauda Equina Syndrome; Surgery
Syndrome caused by inflammation across both sides of one level or segment of spinal cord. Inflammation attacks myelin and interrupts communication between nerves and rest of body Transverse Myelitis
Syndrome usually caused from viral infection, bacterial infection, or abnormal immune response Transverse Myelitis
Loss of function over several hours to weeks, onset of LBP, muscle weakness to paralysis, loss of bowel/bladder function are symptoms of what syndrome? Transverse Myelitis
Treatment of Transverse Myelitis includes what three things? Steroids, PT, OT
Recovery from Transverse Myelitis takes ___ weeks to ____ years. No improvement in 3-6 months, recovery not likely. 2, 2
Pts with no evidence of spinal fracture or dislocation on radiographic evaluation but have significant narrowing of spinal canals d/t degenerative changes Spondylitic disease/Spinal osteoarthritis
Syndrome r/t degenerative changes without fracture or rad. evidence. Can affect cervical, thoracic, or lumbar area. Symptoms depend on area affected. Spondylitic disease/Spinal osteoarthritis
Neck brace, traction, bedrest, steroids, NSAIDS, Miami J Collar, soft collars utilized in treatment of Spondylitic disease/Spinal osteoarthritis
Surgery to remove herniated discs or spurs in treatment of Spondylitic disease/Spinal osteoarthritis
Created by: mreedy