Neuro CIS

Question 1

Damage to dorsal root of the cervical spinal cord

Answer 1

Decreased sensation or reflex from at that sensory or motor dermatome

atonic bladder and painless retention of urine

Question 2

Damage to fasc. gracilis of the cervical spinal cord

Answer 2

ipsilateral loss of propioception/2pt LE

Question 3

damage to fasc gracilis of the cervical spinal cord

Answer 3

ipsilateral loss of proptioception/2pt UE

Question 4

damage to LCST of the cervical spinal cord

Answer 4

ipsilateral spastic paralysis (hypertonicity -> spasticity and ridigity)

Question 5

damage to lateral spinothalamic tract of the cervical spinal cord

Answer 5

Contralateral loss of pain and temp two dermatomes below lesion

Question 6

damage to lateral reticulospinal tract of the cervical spinal cord

Answer 6

loss of autonomic function: bowel and bladder

Question 7

damage to anterior horn to cervical spinal cord

Answer 7

Ipsilateral LMN paralysis

Question 8

ALS

Answer 8

LMN and UMN paralysis

Question 9

Acute poliomyotitis is what?

Answer 9

LMN damage (anterior mototr neurons)

Question 10

What is the most common nerve involvement in ALS?

Answer 10

Hypoglossal

Question 11

Will a person with ALS have sensory deficits?

Answer 11

NOOOO

only motot

Question 12

If you see that a tumor was found on CT, what should you think

Answer 12

Brown sequaard- usually d/t to medullary tumor

Question 13

What 3 columns are involved in brown sequard

Answer 13

1. LCST
2. DCML
3. Lateral spinothalamic

Question 14

How do we know if someone is out of spinal shock?

Answer 14

reflexes return

Question 15

If we have a partially transected SC, can sx recover? y

Answer 15

yes

Question 16

where does SC end

Answer 16

L2

Question 17

What is tabes dorsalis?

Answer 17

Neurosphyllis: a meningovasculature inflammation of the blood vessels as they go through the pia of the dorsal rootlets and posterior columns.

There is bilateral necrosis of posterior columns and dorsal roots

Question 18

tabes dorsalis most affected area

Answer 18

lumbosacral nerve

Question 19

Sx of tabes dorsalias

Answer 19

1. Bilateral loss of posterior columns and dorsal roots: bilateral loss of propioception and 2 pt discrim
2. Urinary retention d/t flaccid bladder
3. radiating pan

Question 20

complete transection of SC can cause

Answer 20

Quadrapelegia if at C5-C6

Parapalegia if at T1-L2

Question 21

3 sx of Brown sequard

Answer 21

1. Ipsilateral loss of propioception and vibration
2. Ipsilatal spastic paralysis (UMN)
3. Contralateral loss of pain and temp

Question 22

What areas can syringomyelia affect

Answer 22

1. anterior white commisure
2. LCST
3. anterior horn (LMN)
4. posterior column