Lower Motor Flashcards
At cervical level, the spinal cord is describes as
Wide and flat, with lots of white matter, and central horn enlargements
At _________ level, there is tips sticking out between dorsal and ventral horns (intermediolateral grey column - sympathetic nerves origin)
Thoracic level
Where can you find a round cord with ventral horn enlargements
Lumbar level
Sacral level spinal cord is characterized by
Small and round with ventral horns enlargements
Where would you find the greatest white:grey matter ratio?
Cervical segment
What is most prominent at thoracic region?
Dorsolateral sulcus
The apex of the dorsal horn is rectangular at the _____________ region
Lumbosacral
A prominent feature of the spinomedullary junction is the __________________
Pyramidal decussation
Which part of the medulla oblongata resembles the spinal cord?
Caudal extent
The pathway associated with sharp pain is the ______________
Spinothalamic
Sipinoreticular pathway is associated with ____________ pain
Dull
Spinoreticular pathway is blocked by ____________
Morphine
IS spinothalamic short or long duration?
Short
Which pathway is associated with an emotional autonomic response?
Spinoreticular
Unconscious propioception is associated with ______________ pathways
Spinocerebellar
Where do spinocerebellar pathways terminate?
Cerebellar cortex
List some origins from the corticospinal tract
Cerebral cortex, corona radiata
At the level of the lesion one can see (ipsilateral/bilateral) UMN syndrome
Ipsilateral
Projection neurons in brainstem nuclei/cerebral cortex send axons caudally, form ______________
Descending tracts
If reflexes are normal/increases, is it upper or lower motor neuron?
Upper
Rapid/severe atrophy is associated with _________ motor neuron signs
Lower
Upper motor neuron location signs of lesions are where?
Brain, C1-C5, T3-L3
Muscle Paralysis is associated with upper or lower motor neuron lesion?
Lower
Poliomyelitis is a viral infection of a (upper/lower) motor neuron
Lower
Describe Brown-Sequard Syndrome
Spinal cord hemisection
Symptoms: ipsilateral UMN below lesion, ipsilateral LMN at lesion, ipsilateral loss of discriminative touch, contralateral loss of pain/temp sensation below lesion
A central cord injury can see symptoms as:
Bilateral loss of pain