SCI

Question 1

Anterior Cord Syndrome Presentation

Answer 1

Loss of motor function, pain, and temperature sense below the lesion

Question 2

Location of lesion for Anterior Cord Syndrome

Answer 2

Corticospinal and Spinothalamic Tracts

Question 3

Brown-Sequard Syndrome Presentation

Answer 3

• IPSILATERAL paralysis, loss of vibratory and positional sense d/t damage to the corticospinal tract and dorsal columns
• CONTRALATERAL loss of pain and temperature sense due to lateral spinothalamic tract damage

Question 4

Common mechanism of injury for Brown Sequard Syndrome

Answer 4

Stab wound

Question 5

Common MOI for Anterior Cord Syndrome

Answer 5

Cervical flexion

Question 6

Cauda Equina Syndrome/Injury Presentation

Answer 6

Flaccidity, areflexia, and bowel/bladder impairment. Full recovery is not typical due to distance needed for axonal regeneration

Question 7

Cauda Equina Originates at the ___ Level

Answer 7

L1

Question 8

Cauda Equina Injuries are considered a _____ nerve injury

Answer 8

Peripheral**

Question 9

Central Cord Syndrome Presentation

Answer 9

• Incomplete lesion (only involves central cord)
• Upper extremities affected more than lower
• Motor deficits > sensory deficits

Question 10

Common MOI of Central Cord Syndrome

Answer 10

Cervical hyperextension

Question 11

Damaged tracts in Central Cord Syndrome

Answer 11

Spinothalamic tract, corticospinal tract, and dorsal columns

Question 12

Posterior Cord Syndrome Presentation

Answer 12

Loss of proprioception, two-point discrimination, and stereognosis. Motor function is preserved***

Question 13

Potential Complications of SCI (6)

Answer 13

1) DVT
2) Ectopic bone
3) Orthostatic Hypotension
4) Pressure Ulcers
5) Spasticity
6) Autonomic Dysreflexia (T6 and above)