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Syndromes Inc SCI
Neuro Exam
| Question | Answer |
|---|---|
| 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
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