Lecture 13.5: Dr. Szot's Lecture Flashcards
1?
Medial vestibulospinal tract
2?
Tectospinal Tract
3?
Lateral corticospinal Tract
4?
Rubrospinal Tract
5?
Medullary reticulospinal tract
6?
Pontine reticulospinal tract
7?
Lateral vestibulospinal tract
8?
Anterior corticospinal Tract
9?
Anterolateral system
10?
Ventral spinocerebellar tract
11?
Dorsal spinocerebellar
12?
Fasciculus cuneatus
13?
Fasciculus gracilis
What is the name of this SCI? What are some clinical symptoms?
Transverse SCI
* Bilateral loss of position sense, light touch, pinprick sensation
* Tetraplegia
* BLE spasticity
Pt presents with hyperextension injury of C-spine
UE MMT
Shoulder flexion: 2/5
Biceps: 2/5
Triceps: 1/5
LE MMT
Hip flexion: 4/5
Knee extension: 5/5
DF: 5/5
PF: 5/5
Impaired sensation to light touch
Central Cord Syndrome
What does a SMALL central cord lesion look like?
Damage to ALST fibers crossing in ventral commissure —> BL regions of sensory loss to pain and temperature
Cervical: classic cape distribution
How will a pt with LARGE central cord lesion present?
- anterior horn cell damage —> LMN deficits
- CST damage —> UMN deficits
- DCML damage —> vibration and proprioception deficits
What SCI does this pt have?
- RUE/RLE hemiparesis
- RUE/RLE increased tone, hyperreflexia
- RUE/RLE decreased vibration and joint position sense
- LUE/LLE decreased pinprick sensation
Left Brown-Sequard Syndrome AKA Hemicord
If a patient has Brown-Sequard Syndrome, they will present with ____ (Ipsi/Contra) motor deficits, _____ light touch and proprioception deficits, and ______ pain and temperature deficits
Ipsilateral CST
Ipsilateral DCML
Contralateral ALST
A patient with Anterior Cord Syndrome will present with loss of _____ function with preservation of _____, ______, and _____
Motor
Position
Vibration
Touch sense
