Neuro patho (SCL)

Question 1

What does the spinothalamic tract do

Answer 1

Pain and temp

Question 2

What does the dorsal column do

Answer 2

Touch, position, sense, vibration

Question 3

What does the spinocerebellar tract do

Answer 3

Proprioceptive information

Question 4

What’s a spinal cord lesion

Answer 4

Spinal cord is vital for conveying and integrating sensory and motor information to and from the periphery, a SCI may impair motor, sensory and autonomic functions depending on extent and level of lesion

Question 5

Examples of non traumatic lesions

Answer 5

Degenerative disc disease, spinal cord stenosis, spinal infarction, inflammation of spinal cord, viral infection, developmental and congenital abnormalities

Question 6

Vulnerable areas of the vertebral column

Answer 6

C spine c5-7
T12
T4-7

Question 7

Patho of spinal cord injuries

Answer 7

Oxygenation, perfusion and acid/base balance to aid management if the injury, oedema amend altered blood flow account for clinical deterioration,
3 different mechanisms: destruction from direct trauma, compression by bone fragment, hématome or disc material, ischaemia from damage or impingement it spinal arteries

Question 8

Difference between tetraplegia and quadraplegia

Answer 8

Impairment or loss of motor control and sensory function in cervical segments of the cord, tetraplegia affects all 4 limbs
Impairment or loss of motor control and sensory function in the thoracic, lumbar of sacral segments of the cord, depending on level of injury, trunk, legs and pelvis may be involved

Question 9

What’s a complete spinal cord lesion

Answer 9

Complete loss of function below point of injury, damage to descending pathways, damage to anterior motor neurone , spinal shock at level of lesion, complete destruction of nerve cells, flaccidity, gradually anterior horn cells below level of lesion recover but have no control from higher centres

Question 10

What’s an incomplete spinal cord lesion

Answer 10

Some sparing of neural activity below level of lesion

Central cord syndrome, anterior cord syndrome, brown sequard syndrome, cauda equina syndrome

Question 11

What’s total transaction of the cord

Answer 11

Results in impairment of deep and superficial sensation, autonomic dysfunction, impairment of vaso motor control, postural hypertension, autonomic dysteflexia, problems with bladder and bowel function, problems with sexual function

Question 12

What’s the ASIA scale and how does it classify a stroke

Answer 12

Determine sensory level on both sides, determine motor level on both sides, determine single neurological level, determine whether the injury is complete or incomplete, determine ASIA impaire,not scale grade

Question 13

Myotomes the group of muscles a single spinal nerve innervates and dermatomes are an area of skin a single nerve innervates

Answer 13

C5- elbow flexors L2-hip flexors
C6- wrist extensors/flexors. L3- knee extensors
C7-elbow extensors L4 - ankle dorisflexion
C8-finger flexors L5- long toe extensors
T1- finger abduction S1- ankle plantar flexors