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Y4R3 - Medicine II 🩺 > L7: Paraplegia > Flashcards

L7: Paraplegia Flashcards

1
Q

Where Does Spinal Cord Begin?

A

at the level of the foramen magnum.

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2
Q

Where Does Spinal Cord End?

A
  • at the level of the lower border of L1 vertebra.

Its terminal part is called conus medullaris (S 3, 4, 5).

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3
Q

Spinal Cord Segments

A
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4
Q

Each segment has on each side a ventral & a dorsal root

A
  • join together just distal to the dorsal root ganglion to form spinal nerve that emerge from corresponding foramen.
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5
Q

Cauda Equina

A

All the roots of the spinal nerves from L2 to the lowest coccygeal nerve pass in the subarachnoid space.

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6
Q

The Spinal Cord is surrounded by ……

A
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7
Q

Lesions of Spinal Cord

A
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8
Q

Blood Supply of Spinal Cord

A
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9
Q

Blood Supply of Spinal Cord

  • Anterior Spinal Artery
A
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10
Q

Blood Supply of Spinal Cord

  • Posterior Spinal Artery
A
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11
Q

Blood Supply of Spinal Cord

  • Segmental Arteries
A
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12
Q

Spinal Cord Pathways

A
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13
Q

Def of Paraplegia

A
  • Total or partial (paraparesis) loss of lower limbs motor & sensory functions d2 bilateral pyramidal tract lesion.
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14
Q

Etiology of Paraplegia

A
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15
Q

Etiology of Paraplegia

  • Central Causes
A
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16
Q

Etiology of Paraplegia

  • Cerebral Causes
A
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17
Q

Etiology of Paraplegia

  • Brainstem Causes
A
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18
Q

Etiology of Paraplegia

  • Spinal Coed Causes
A
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19
Q

Etiology of Paraplegia

  • Compressive Neoplastic Causes
A
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20
Q

Etiology of Paraplegia

  • Compressive Non-Neoplastic Causes
A
21
Q

Etiology of Paraplegia

  • Non-Compressive Causes
A
22
Q

CP of Paraplegia

A
  • Vertebral Manifestations
  • Radicular Manifestations
  • Cord Manifestaions
23
Q

CP of Paraplegia

  • Vertebral Manifestations
A
24
Q

CP of Paraplegia

  • Radicular Manifestations
A
25
Q

CP of Paraplegia

  • Cord manifestations
A
26
Q

Cord Manifestations of Paraplegia

  • Motor
A
27
Q

Cord Manifestations of Paraplegia

  • Sensory
A
  • Complete level
  • Level with preservation of deep sensation
  • Jacket
  • Brown-Sequard syndrome
28
Q

Cord Manifestations of Paraplegia

  • Autonomic
A
29
Q

Read These Notes

A
30
Q

Compare between Extra & Intra Medullary

A
31
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • Duration
A
32
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • Pain
A
33
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • Bladder
A
34
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • CP
A
35
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • Sphincter
A
36
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • Trophic Changes
A
37
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • Spine Exam
A
38
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • CSF
A
39
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • Plain X-Ray
A
40
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • Myelogram
A
41
Q

Compare between Extra & Intra Medullary Lesions in terms of

  • CT, MRI
A
42
Q

Localization of Paraplegia

A
43
Q

Localization of Paraplegia

  • Localization of Segment
A
44
Q

Localization of Paraplegia

  • Localization of Vertebrae
A
  • Vertebra examination
  • Localization of the segment
45
Q

Managment of Paraplegia

A
46
Q

Managment of Paraplegia

  • General
A

Care of Vital signs, Skin, Sphincters “Bladder & Rectum”

47
Q

Managment of Paraplegia

  • managment of the Cause
A

Surgical or Medical according to the etiology

48
Q

Managment of Paraplegia

  • TTT of Spasticity
A
  • Muscle relaxant
  • Selective injection of the severe spastic muscle groups with Botulinum toxin.

Y4R3 - Medicine II 🩺 (16 decks)

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