17.2 - Spinal cord lesions Flashcards
syringomyelia results in sensory loss of pain and temperature with sparing of fine touch and position in the upper extremities due to involvement of the _____________ of the _____________
- anterior white commissure
- spintothalamic tract
how does syringomyelia present?
- cape like distribution of sensory loss
- muscle atrophy and weakness with decreased muscle tone and impaired reflexes
- horner syndrome
why does horner syndrome result from syringomyelia?
disruption of the lateral horn of the hypothalamospinal tract
werdnig hoffman disease is an inherited degeneration of the ______________ and the inheritance is ________
- anterior motor horn
- AR
ALS is a degenerative disorder of upper and lower motor neurons of the _____________ tract
corticospinal
what is an early sign of ALS?
atrophy and weakness of hands
what mutation occurs in some familial cases of ALS?
Cu/Zn SOD mutation
friedrich ataxia is a degenerative disorder of the ________ and _________
cerebellum and spinal cord
what is the inheritance of friedrich ataxia?
AR
friedrich ataxia is due to n unstable trinucleotide repeat of ______ in the _________ gene
- GAA
- frataxin
what is the normal role of frataxin? what happens when it is lost?
- mitochondrial iron regulation
- free radical damage
friedrich ataxia is associated with _______________ cardiomyopathy
hypertrophic