Cord Lesions Flashcards

1
Q

3 most clinically important tracts of spinal cord

A
  1. dorsal columns
  2. lateral corticospinal tracts
  3. spinothalamic tracts (w/in anterolateral pathway)
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2
Q

function of dorsal columns

A
  • carry info on fine touch, vibration, and proprioception to the brain
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3
Q

function of the lateral corticospinal tracts

A
  • carry efferent impulses from the motor cortices to the peripheral musculature, to control fine, voluntary movements
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4
Q

function of the spinothalamic tracts

A
  • carry information on pain and temperature from the periphery to the brain
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5
Q

describe transverse lesions

A
  • complete transection of the cord resulting in loss of pain/temp perception, vibration/touch/proprioception perception, and UMN lesion sx
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6
Q

describe UMN lesion sx

5

A
  • paralysis
  • spasticity
  • hyper-reflexemia
  • clonus
  • pos babinski
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7
Q

describe anterior lesions

A
  • bilateral UMN lesion signs
  • Loss of pain/temp sensation below the level of the lesion
  • Dorsal columns spared (no loss of fine touch)
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8
Q

describe posterior lesions

A
  • bilateral loss of fine touch, vibration, and proprioception below level of spinal lesion
  • motor function and pain/temp sensation are spared
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9
Q

hemi-cord lesions AKA

A

brown-sequard syndrome

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10
Q

describe hemi cord lesions

A
  • loss of fine touch, proprioception, and vibration sensation and UMN lesion sx on the side of the lesion
  • loss of pain/temp sensation on the opposite side of the lesion
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11
Q

describe small central cord lesions

A
  • only disrupts the spinothalamic fibers at the level of the lesion
  • causes a “cape of pain/temp loss” over the arms
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12
Q

describe large central cord lesions

A
  • disrupts all but the outermost area of the spinal cord
  • sacral region is spared
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13
Q

mnemonic for identifying causes of lesions

A

INVITED MD

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14
Q

INVITED MD

I

what it stands for + 2 specifics

A

INFECTIOUS
* epidural abscess
* tertiary syphilis

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15
Q

INVITED MD

N

2 specifics

A

NEOPLASM
* intrinsic/extrinsic spinal cord tumor

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16
Q

INVITED MD

V

3 specifics

A

VASCULAR
* spinal stroke
* AVM
* cavernoma

17
Q

INVITED MD

I

3 specifics

A

INFLAMMATORY
* transverse myelitis
* MS
* neuromyelitis optica

18
Q

INVITED MD

T

2 specifics

A

TRAUMA
* stab wound
* spinal fracture

19
Q

INVITED MD

E

no specifics

A

ENDOCRINE

20
Q

INVITED MD

D

2 specifics

A

DEGENERATIVE
* intervertebral disc prolapse
* spondylosis

21
Q

INVITED MD

M

1 specific

A

METABOLIC
* vit B12 deficiency

22
Q

INVITED MD

D

no specifics

A

DRUGS