Neurology Lecture 2

Question 1

What is the order that spinal cord dysfunction is gained and lost in?

Answer 1

1. Loss of cutaneous proprioception
2. Loss of voluntary motor function
3. Loss of superficial pain sensation
4. Loss of deep pain sensation

Question 2

What signs would be expected with lesion C1-C5?

Answer 2

UMN signs

Question 3

What signs would be expected with C6 to T2?

Answer 3

LMN - forelimb

UMN - hindlimb

Question 4

What signs are expected with lesion T3 to L3?

Answer 4

Forelimb - normal

Hindlimb - UMN

Question 5

What signs are expected with L4 to S3?

Answer 5

Forelimb - normal

Hindlimb - LMN

Question 6

What signs are seen with UMN bladder problems and what type of lesion would cause this?

Answer 6

Retention - lesions cranial to L7

Question 7

What signs are seen with LMN bladder and what type of lesion would cause this?

Answer 7

Incontinence - L7 to S3

Question 8

Rank the following types of nerve injury from worst to best progonosis: axonmetesis, neuropraxia, neurotmetesis

Answer 8

1. neuropraxia
2. axonotmesis
3. neurotmesis

Question 9

What are two different types of reflexes that can be used to asses the extent of the reflexes?

Answer 9

patellar reflex and the withdrawl reflex

Question 10

What type of reflex can be used to further localise lesions of the spinal cord and what is an important consideration with it?

Answer 10

Panniculus reflex/cutaneous trunci - nerves enter the spinal cord - 2 vertebrae cranially