Classic SPinal cord lesions

Question 1

Polio

Answer 1

Flaccid Paralysis
Muscle Atrophy
Fasciculatios
Areflexive

Question 2

Bilateral dorsal column signs BELOW lesion
Late state syphilis
Romberg Sign
Argyll Robertson Pupils

Answer 2

Tabes Dorsalis

Question 3

Progressive spinal muscular atrophy (ventral horn)
Primary lateral sclerosis - corticospinal tract
–Spastic paralysis - lower limbs
–Faccid paralysis - upper limbs
–Increased tone and reflexes

Answer 3

ALS

Question 4

Dorsal column is SPARED

everything else is BILATERAL

Answer 4

Anterior Spinal Artery Occluion

Question 5

Vit B12 - pernicious anemia - AIDS

Demyelination of dorsal column and corticospinal tracts

Answer 5

Subacute Combined Degeneration

Question 6

Cavitation of cord - cervical
Biilateral loss of pain and temp at level of lesion
As it progresses, it gets to ventral horns (flaccid paralysis and atrophy)

Answer 6

Syringomyelia

Question 7

Dorsal cord - ipsilateral loss of position or vibration at and BELOW lesion
Spinothalamic tract - contralateral loss of pain and temp below lesion and BILATERAL at level of lesion

CST and LMN affected too - ipsilateral

Answer 7

Hemisection

BROWN Sequard syndrome