lecture 6 (spinal cord injuries) Flashcards
What is the most common cause for a traumatic SCI?
Motor vehicle injuries
The most common spinal areas for SCI to cause paraplegia are?
C1, C2, C5-7, T12-L11
Name of descending tracts carrying motor info?
Corticospinal
This type of force commonly leads to anterior cord syndrome
after hyperflexion
4 types of incomplete injuries are?
- Central Cord Syndrome
- Anterior Cord Syndrome
- Posterior Cord Syndrome
*Brown Sequard Syndrome
A grade 3 muscle test is defined as?
Full range of motion against gravity with no resistance applied
C6 myotome tests which muscles? L5 tests which muscles?
C6 -Biceps/wrist extension
L5- big toe extension
A radiculopathy is?
Injury to a nerve root
“A” on the ASIA scale is what category?
complete
Neurogenic shock involves the _______ chain?
sympathetic
A cause of Brown-Sequard is?
Penetrating injury such as gun shot wound or tumor
12) Autonomic dysreflexia usually occurs at _______ level and above.
T6
Spinal cord ends at ___ and is called the conis medularis ?
L1
The leading cause of death following a SCI is
- pulmonary embolus
- pneumonia
- septicemia
A cause of autonomic dysfunction is?
Parkinson’s, diabetes, MS, ALS
One sign of autonomic dysreflexia is?
Facial flushing, high blood pressure, headaches, sweating
An immediate thing to do in autonomic dysreflexia is?
Bring to upright and look for painful object. Is there a Pressure sore? etc.
What type of breathing should somebody who is a C1-4 quad learn and why?
Glossopharyngeal Breathing (push air (gulps) into the lungs)
APOPTOSIS
programmed cell death - survival mechanism
quadriplegia symptoms for C1 -3
Able to speak, swallow, and control head movement. Lose ability to cough and breathe
