Incomplete SCI

Question 1

Anterior Cord Syndrome

Answer 1

MOI: compression, damage to ant. part of SC or ant. spinal artery
–> cervical flexion

Sx:
Loss of motor fxn
Loss of pain and temp

Tracts:
Corticospinal
Spinothalamic

Question 2

Central Cord Syndrome

Answer 2

MOI: Compression, damage to central portion SC
–> cervical hyperextension

Sx:
UE > LE
motor > sensory

Tracts:
Corticospinal
Spinothalamic
Dorsal columns

Question 3

Brown-Sequard’s Syndrome

Answer 3

MOI: hemisection of SC, stab wound

Sx:
Paralysis
Loss of vibratory & position sense (ipsi)
Loss of pain & temp (contra)

Tracts:
Corticospinal and dorsal columns
Lateral spinothalamic

Question 4

Posterior Cord Syndrome

Answer 4

MOI: compression of posterior spinal artery

Sx:
Loss of proprioception
Loss of 2-pt discrim
Loss of stereognosis

Motor fxn preserved!

Question 5

Cauda Equina Injuries

Answer 5

• Injury below L1 level
• Complete or incomplete
• Considered peripheral nerve injury

Sx:
Flaccidity
Areflexia
Impairment of bowel/bladder fxn

Full recovery not typical - distance needed for axonal regeneration