NM SCI Syndromes

Question 1

Central Cord Syndrome:

Loss of more centrally located ______ tracts/____ function

Answer 1

Cervical tracts

Arm function

Question 2

Central Cord Syndrome:

What is preserved?

Answer 2

Peripherally located lumbar and sacral tracts

Leg function

Question 3

Central Cord Syndrome:

Typically caused by what mechanism?

Answer 3

Hyperextension injury to C/S

Question 4

Central Cord Syndrome:

Loss of ________ tracts with loss of what?

Answer 4

Spinothalamic tracts

With loss of B/L pain and temp

Question 5

Central Cord Syndrome:

Loss of ____ horn with loss what what?

Answer 5

Ventral horn

B/L loss of motor function: primarily UE

Question 6

Central Cord Syndrome:

Preserves _____ and ______ sensation

Answer 6

Proprioceptive and discrimination

Question 7

Brown-Sequard Syndrome:

Hemisection of SC typically caused by ___________

Answer 7

Penetration wounds (GSW)

Question 8

Brown-Sequard Syndrome:

What kind of symptoms?

Answer 8

Asymmetrical

Question 9

Brown-Sequard Syndrome:

I/L loss of ______ columns with loss of what 4 things?

Answer 9

Dorsal

Proprioception, pressure, vibration, tactile discrimination

Question 10

Brown-Sequard Syndrome:

I/L loss of ____________ tracts with loss of _______ ______ and _______ ______ below lesion level

Answer 10

Corticospinal
Motor function
Spastic paralysis

Question 11

Brown-Sequard Syndrome:
C/L loss of _________ tract with loss of ____ and ____ below level of lesion
At the level of lesion there is B/L loss of _____ and ____

Answer 11

Spinothalamic
Pain and temp

Pain and temp

Question 12

Anterior cord syndrome:

Loss of what three things?

Answer 12

Motor function
Pain
Temp

Question 13

Anterior cord syndrome:

What is this typically caused by?

Answer 13

Flexion injuries to C/S

Question 14

Anterior cord syndrome:

Loss of lateral ______ tracts with B/L loss of ______ _____

Answer 14

Corticospinal

Motor function

Question 15

Anterior cord syndrome:

_____ ______ below lesion level

Answer 15

Spastic paralysis

Question 16

Anterior cord syndrome:

Loss of ________ tracts with B/L loss of ____ and _____

Answer 16

Spinothalamic

Pain and temp

Question 17

Posterior cord syndrome:

Loss of _____ columns with preservation of ______ ______, sense of ______ and _____ _____

Answer 17

Dorsal
Motor function
Pain, light touch

Question 18

Posterior cord syndrome:

B/L loss of ____, _____, ______, and ______ sensations

Answer 18

Proprioception
Vibration
Pressure
Epicritic

Question 19

Posterior cord syndrome:

What are examples of epicritic sensations?

Answer 19

Stereognosis

2 point discrimination

Question 20

Cauda Equina Syndrome:

Injury below level ___

Answer 20

L1

Question 21

Cauda Equina Syndrome: Results in injury to lumbar and sacral roots of ______ ______ (___)

Answer 21

Peripheral nerves

LMN

Question 22

Cauda Equina Syndrome:

There is _____ _____ and _______

Answer 22

Sensory loss and paralysis

Question 23

Cauda Equina Syndrome:

_______ or _____ bladder

Answer 23

Autonomous

Nonreflex

Question 24

Cauda Equina Syndrome:

Loss of long nerve roots at or below ___

Answer 24

L1

Question 25

Cauda Equina Syndrome:

Variable nerve root damage (____ and ____ signs); incomplete lesions commons

Answer 25

Sensory and motor

Question 26

Cauda Equina Syndrome:

_____ paralysis with no spinal reflex activity

Answer 26

Flaccid

Question 27

Cauda Equina Syndrome:

______ paralysis of bowel and bladder

Answer 27

Flaccid

Question 28

Cauda Equina Syndrome:
There is potential for nerve regen
Regen often incomplete
Slows and stops after ___ year(s)

Answer 28

1 year

Question 29

Complete cord syndrome:
_______ paralysis below level of lesion
_______ bowel/bladder

Answer 29

Spastic

Spastic

Question 30

Sacral sparing:
Sparing or tracts to sacral segments
With preservation of _____ sensation, _____ _____ tone, and active ___ _____

Answer 30

Perinatal
Rectal sphincter
Active toe flexion