Pavlick- Neuropathies and Nerve Disorders Flashcards
disease/disorder of spinal nerve root
radiculopathy
disease/disorder of peripheral nerves
neuropathy
symptom of neuropathy that involves loss muscle function
palsy
disc herniation occurs when _____ protrudes through annulus fibrosus
nucleus pulposus
lateral and medial herniation of C6/C7 affects what
C7
herniation of C7/T1 affects what
C8
far lateral herniation of L4/L5 affects what
L4
medial and lateral herniation of L4/L5 affects what
L5
lateral winging of scapula caused by ____ or ____ palsy
CN XI
dorsal scapular n.
medial winging of scapula caused by ____ palsy
long thoracic n.
Group of disorders wherein compression of the neurovasculature of the costoclavicular space (most commonly) occurs
thoracic outlet syndrome
causes pain and numbness in upper back, neck, shoulder, arm or hand
thoracic outlet syndrome
upper trunk injury (C5-C6)
neck and shoulder pushed in opposite directions
Erb’s palsy
Arm rotated medially/internally
Forearm extended and pronated
“waiter’s tip”
Erb’s palsy
Loss of sensation in arm
Paralysis and atrophy of deltoid, biceps brachii, and brachialis m
Erb’s Palsy
lower trunk injury
(C8-T1)
arm pulled above head by force
Klumpke’s Palsy
Paralysis (and atrophy) of forearm and hand muscles results in their antagonist counterparts being unopposed
“claw hand” (Klumpke’s palsy)
(C5-T1)
Tingling/numbness in lateral 3 fingers and hand
Electric shock sensation
Weakness
Thenar compartment atrophy (advanced disease)
median nerve neuropathy
compression at D
carpal tunnel syndrome
(C8-T1)
Tingling/numbness in medial 2 fingers and hand
Electric shock sensation
Weakness
Hypothenar compartment atrophy (advanced disease)
ulnar nerve neuropathy
compression at C
cubital tunnel (funny bone)
compression at D
Guyen’s canal
C5-T1
Tingling/numbness of posterior UE to dorsal hand
Weakness of posterior compartment UE mm.
Weakness of elbow flexion while midpronation
Wrist drop
Radial nerve neuropathy
compression at B
“Saturday night palsy”
compression at B or C
Honeymoon palsy
can be injured in midshaft fracture
radial nerve
compression at D
Handcuff Palsy
herniation at C could cause what
L5 nerve impacted
potentially S1-4
cauda equina
can involve spinal nerves T12-S1
cauda equina syndrome
saddle anesthesia
pain
incontinence
numbness
emergency
cauda equina syndrome
loss of sensation for dermatomes S2-5
saddle anesthesia
compression of lateral femoral cutaneous n. (L2-L3)
meralgia paresthetica
skinny jean syndrome
Tingling, numbness and/or burning pain on lateral thigh
meralgia paresthetica
lateral femoral cutaneous n. injury
Weakness in knee flexors, ankle flexors and extensors
Numbness and/or pain
(L4-S3)
sciatic nerve neuropathy
Typically due to injury of buttocks, trauma or needle sticks
sitting for long periods of time
sciatic nerve neuropathy
piriformis muscle compression
sciatic nerve neuropathy
can be caused by thick wallet in back pocket
sciatic nerve neuropathy
compression to common peroneal n. (branch off sciatic)
(L4-S2)
peroneal nerve neuropathy
Weakness in dorsiflexion and eversion of foot (foot drop)
Sensory loss along lateral leg and dorsal foot
Can occur at hip or fibular neck
peroneal nerve neuropathy
Most common peripheral neuropathy
Caused by diabetes mellitus
diabetic neuropathy
Motor loss
Loss of reflexes (especially at the ankle)
Loss of balance and coordination
Decreased healing of ulcers and infections leading to amputations
Can also cause autonomic neuropathy
diabetic neuropathy
decreased healing of ulcers in diabetes due to accumulation of glucose in blood and inhibiting ____
IL-10 (used for fibrosis proliferation in wound healing)
nerve sheath tumor
neurofibroma
tumor of peripheral myelin
nerve sheath tumor
schwannoma
Most common cause of bilateral vestibular schwannoma
neurofibromatosis II
pilocytic astrocytoma seen with this
common
chromosome 17 mutation
cutaneous lesions
NF1
bilateral vestibular schwannomas
sturge-weber
CNS lesions
chromosome 22 mutation
NF2
primary bone tumor arising from remnants of notochord
chordoma
most common areas of chordoma
clivus (skull)
spine
sacrum
chordoma
clivus area
chordoma
sacrum area
chordoma