31.7.2013(myelopathy)

Question 0

artery of Adamkiewicz

Answer 0

Major lumbar radicular artery that arises from aorta and enters the cord between T10 and L3

Question 1

Dermatomes at nipple line

Answer 1

T5

Question 2

Causes of lehermitte sign

Answer 2

Cervical spondylosis
Vit B12 deficiency
Multiple sclerosis

Question 3

Anal wink checks the integrity of

Answer 3

S2-S5

Question 4

Saddle anaesthesia is caused due to lesions of

Answer 4

S1 and S2

Question 5

Saddle anaesthesia

Answer 5

Sensory loss in saddle area

May be accompanied by loss of sensation in medial calf and posterior thigh

Question 6

Tendon jerks in acute transverse myelitis

Answer 6

Initially absent but later may become hyperactive

Question 7

Sensory loss in acute transverse myelitis

Answer 7

Pain and temperature lost

Vibration and proprioception may be preserved

Question 8

Extramedullary Extradural lesions

Answer 8

Epidural mets
Epidural abscess
Epidural hematoma
Disc prolapse

Question 9

Extramedullary intradural lesions

Answer 9

Neurofibroma
Schwanomma
Meningioma

Question 10

Neoplasms that metastasise to spine

Answer 10

Breast 
Lung
Myeloma
Prostate
Lymphoma
GIT

Question 11

Spinal cord tracts affected in friederich ataxia

Answer 11

Dorsal column
Lateral corticospinal
Anterior and posterior spinocerebellar

Question 12

Cause of man in a barrel syndrome

Answer 12

Acute hyperextension injury to neck

Question 13

Presentation of man in a barrel syndrome

Answer 13

Quadriplegia with arms affected more than legs
Patchy sensory loss
Urinary retention

Question 14

Presentation of tropical spastic paraparesis

Answer 14

Spastic lower limbs
Plantar extensor
Posterior column signs may be present
Optic nerve involvement may be seen

Question 15

Cause of tropical spastic paraparesis

Answer 15

HTLV-1

Question 16

Most frequently involved spinal cord segment in transverse myelitis

Answer 16

Thoracic