iRAT #4 Flashcards
According to souza, patients with myelopathy due to posterior cord compression may have all of the following symptoms EXCEPT
Increased dexterity
A patient with bilateral symptoms of clumsiness of the hands, difficulty walking, possible urinary dysfunction and shooting pains into the arms is a classic presentation for myelopathy. T/F
True
According to souza, a myelopathy is the most common spinal cord dysfunction in individuals older than ___ years of age and more common in ____ and ASians
55
Males
According to souza, most tests for cervical myelopathy are specific but not sensitive which means
Finding positives is good for ruling in myelopathy but not finding positives does not rule-out a myelopathy
According to souza, babinski sign may be present in cases of myelopathy. T/F
True
A spondylotic myelopathy that is caused by direct pressure on the posterior columns may produce
A & B
____ is the recommended management for cervical myelopathy where there are “hard” lesions such as spondylosis or ossification of the posterior longitudinal ligament.
Surgery
According to souza, mixed findings of UMNL and LMNL may occur with myelopathy. T/F
True
According to souza, an overlap of myelopathy symptoms possibly will NOT include which of the following
Vascular symptoms
According to souza, cervical myelopathy is present in ___ of individuals older than 70 years of age
90%
According to souza, myelopathy producing lower motor neuron problems is due to
All of these
A patient diagnosed with myelopathy will probably NOT result in bilateral sensory loss including numbness and vibration loss. T/F
False
According to souza, if there are mild meylopathic signs/symptoms or MRI evidence of compression with no T2 changes the patient should be managed using
HVLA adjusting
According to souza, patients with myelopathy due to anterior cord compression may have all of the following symptoms EXCEPT
Deep tendon hyporeflexia
According to souza, if spinal canal measurements are less than ____, a ______ should be order
13mm
MRI
Based on the symptoms of myelopathy which fo the following would be a good differential diagnosis
Multiple sclerosis
Accrodign to MErck, medical management for cervical spondylosis leading to cervical myelopathy often require ____ to relieve the spinal compression
A & B
According to Dr. Mark Amos, Hoffman’s test is performed by
Flicking the index finger into extension
According to souza, a radiographic measurement of hte spinal canal diameter may be accoplished on the ___ view of the cervical spine
Lateral
According to souza, all of hte ofllowing are causes of spinal cord compression (myelopathy) EXCEPT
Angioma
According to souza, the signs and symptoms of the spinal cord compression or myeloapthay are basically the same despite nerve roots that are involved. T/F
False
According to souza…the following myelpathy that is caused by direct pressure on the posterior columns may produce disturbanvces in
Vibration perception
Proprioception disturbances
According to souza, myelopathy producing motor neuron problems is due to
Compression of nerve roots
Accroding to souza, overlap of myelopathy symptoms will not include which of the following
Vascular symptoms
According to souza, myelopathy will not likely result in bilateral senosry loss including numbness and vibration loss. T/F
False
According to souza, surgery is the recommeneded management for cervical myelopathy where there are
Hard lesions such as spondylosis or ossification of PLL
Accordign to souza, if there are mild myelopathy signs or symptoms of MRI evidence of compression with no T2 cahnges should be managed using
High velocity low amplitude adjustments
According to souza, 70% of patients with early onset and mild myelopathy improve with management of chiropractic care. T/F
True
