Incomplete_SCI

Question 1

Most important prognostic factor for recovery from SCI

Answer 1

Completeness of the lesion - severity of the neurological deficit

Question 2

Effect of age on SCI recovery

Answer 2

Younger us better

Question 3

Best incomplete SCIs for favorable recovery

Answer 3

Brown Sequard and Central Cord

Question 4

SCI Recovery related to vertebral displacement.

Answer 4

Under 30% favorable for recovery

Question 5

Most common incomplete SCI

Answer 5

Central cord

Question 6

Dvorak return of function in central cord SCI:

AMS - ASIA Motor Score
Bowel and bladder control
Ambulation

Answer 6

AMS - ASIA Motor Score 58.7 to 98.3
Bowel and bladder control 81%
Ambulation 86%

Question 7

Descending motor tracts

Answer 7

Lateral corticospinal - ipsilateral

Ventral corticospinal - ipsilateral

Question 8

Ascending sensory tracts

Answer 8

Dorsal columns - ipsilateral
deep touch, vibration and proprioception
Gracilis central, Cuneatus lateral

Lateral spinothalmic - contralatera 1-2 levels
Pain and temperature
Cervical more central

Central spinothalamic - light touch

Question 9

Surgical treatment of central cord SCI

Answer 9

Reserved for persistent compression or instability

Question 10

Prognosis for anterior cord syndrome

Answer 10

Worst prognosis of incomplete SCI

10-20% chance of motor recovery

Question 11

Recovery % ambulation Brown Sequard Syndrome

Answer 11

98%+