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Neuro Exam

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Question
Answer
Most common incomplete SCI. Often caused by hyperextension injury and damage to center of cord   Central Cord Syndrome  
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Frequently seen in older pts with degenerative bony changes in cervical spine resulting in narrowing of overall diameter of spinal cord   Central Cord Syndrome  
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Tracts in center of cord lead to _________ extremities   Upper  
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Tracts in lateral are of cord lead to _______ extremities   Lower  
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With Central Cord Syndrome, greater loss of motor and sensory function in _______ extremities - good prognosis. What sensations are felt?   Upper; Numbness, tingling  
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Caused by direct injury of anterior portion of spinal cord or disruption of anterior spinal artery resulting in ischemia and infarction   Anterior Cord Syndrome  
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Often d/t compression from either a disc herniation or from a hyperextension injury resulting in fracture/dislocation of vertebra   Anterior Cord Syndrome  
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Causes paralysis, loss of pain and temp sensation below level of injury   Anterior Cord Syndrome  
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Light touch and position sense are preserved. These tracts are located in the _______columns   Dorsal  
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Variable prognosis, generally not favorable   Anterior Cord Syndrome  
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Syndrome occurs with injury to half the spinal cord. Usually form penetrating causing transverse hemisection of spinal cord   Brown-Sequard Syndrome  
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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  
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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  
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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  
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With this syndrome, pts may experience weakness/paralysis, sensory deficits, bowel and bladder dysfunction. Recovery variable.   Cauda Equina Syndrome  
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Alteration in bowel and bladder function is an indication this syndrome is getting worse. Notify Dr. Pt may need?   Cauda Equina Syndrome; Surgery  
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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  
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Syndrome usually caused from viral infection, bacterial infection, or abnormal immune response   Transverse Myelitis  
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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  
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Treatment of Transverse Myelitis includes what three things?   Steroids, PT, OT  
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Recovery from Transverse Myelitis takes ___ weeks to ____ years. No improvement in 3-6 months, recovery not likely.   2, 2  
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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  
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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  
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Neck brace, traction, bedrest, steroids, NSAIDS, Miami J Collar, soft collars utilized in treatment of   Spondylitic disease/Spinal osteoarthritis  
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Surgery to remove herniated discs or spurs in treatment of   Spondylitic disease/Spinal osteoarthritis  
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