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Neuro Test 2 > Lecture 13.5: Dr. Szot's Lecture > Flashcards

Lecture 13.5: Dr. Szot's Lecture Flashcards

1
Q

1?

A

Medial vestibulospinal tract

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2
Q

2?

A

Tectospinal Tract

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3
Q

3?

A

Lateral corticospinal Tract

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4
Q

4?

A

Rubrospinal Tract

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5
Q

5?

A

Medullary reticulospinal tract

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6
Q

6?

A

Pontine reticulospinal tract

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7
Q

7?

A

Lateral vestibulospinal tract

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8
Q

8?

A

Anterior corticospinal Tract

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9
Q

9?

A

Anterolateral system

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10
Q

10?

A

Ventral spinocerebellar tract

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11
Q

11?

A

Dorsal spinocerebellar

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12
Q

12?

A

Fasciculus cuneatus

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13
Q

13?

A

Fasciculus gracilis

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14
Q

What is the name of this SCI? What are some clinical symptoms?

A

Transverse SCI
* Bilateral loss of position sense, light touch, pinprick sensation
* Tetraplegia
* BLE spasticity

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15
Q

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

A

Central Cord Syndrome

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16
Q

What does a SMALL central cord lesion look like?

A

Damage to ALST fibers crossing in ventral commissure —> BL regions of sensory loss to pain and temperature

Cervical: classic cape distribution

17
Q

How will a pt with LARGE central cord lesion present?

A
  • anterior horn cell damage —> LMN deficits
  • CST damage —> UMN deficits
  • DCML damage —> vibration and proprioception deficits
18
Q

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
A

Left Brown-Sequard Syndrome AKA Hemicord

19
Q

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

A

Ipsilateral CST
Ipsilateral DCML

Contralateral ALST

20
Q

A patient with Anterior Cord Syndrome will present with loss of _____ function with preservation of _____, ______, and _____

A

Motor

Position
Vibration
Touch sense

Neuro Test 2 (19 decks)

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