CIS Flashcards
Acute Poliomyelitis
These symptoms match what syndrome?
- Ips. loss of proprioception, vibration
- Ips. spastic paralysis (motor tracts gone)
- Contr. loss of pain + temp
*all these symptoms = below lesion
Browns Sequard Syndrome
This disease has UMN + LMN paralysis and NO SENSORY deficits
It commonly affects hands, legs, and tongue
LMN = anterior horn, hypoglossal nucleus, nucleus ambiguous, facial motor nucleus
UMN = chronic, progressive degenerationo f corticospinal tracts
ALS (Amytrophic lateral Sclerosis)
What is the background of syringomyelia?
Gross cavitation and gliosis of central canal (syrinx enlarges) of SC *usually cervical
Poliomyelitis involves what?
motor neurons of anterior (ventral) horns and the cranial nerve motor nuclei
Brown Sequard
What syndrome results for a hemisection lesion of the SC?
Brown-Sequard Syndrome
Spinal Shock
Tabes Dorsalis - Neurosyphilis
Enlargement of the syrinx results in:
- Destruction of anterior white commissure (pain + temp loss of arm)
- UMN - lateral corticospinal tract problem
- LMN - Anterior horn problem
- Posterior column can be affected (Anesthetia)
*can be bilateral or ipsilateral
Where is the damage in paralytic poliomyelitis?
nuclues ambiguous, phrenic nucleus, medial motor cell column
- Paralysis of pharyngeal, laryngeal, diaphragm, or intercostal muscles (breathing problems)
- LMN problems
Syringomyelia
Lighting pains from lower limbs for last 10 years Dorsal root (retention of urine) Broad gait w/ “slapping” of feet
Tabes Dorsalis in late stage syphillis
A meningovascular inflammation of the blood vessels as they pierce through the pia at the junction of the dorsal rootlets and posterior columns Lumbosacral N.’s most commonly affected
Tabes Dorsalis
ALS
What happens initially with spinal cord injury?
Spinal shock
Loss of all sensations, reflex activities
Bilateral flaccid paralysis
*out of SS if you recover any reflexes (2nd phase)*
