spinal chord lesions

Question 1

Parietal Lobe sign

Answer 1

cortical sensory loss (association areas)

Question 2

Contralateral with all modalities affected, face, hands, feet more pronounced, may include motor signs and hemianopsia

Answer 2

thalamic

Question 3

loss of sensation and motor below lesion

Answer 3

transverse cord

Question 4

loss of pain and temp contralateral below lesion, loss of vibration and motor ipsilateral below lesion

Answer 4

Hemisection aka brown sequard syndrome

Question 5

loss of pain only at level of lesion suspended sensory loss, small lesion in central commissure, “Classic cape distribution and spares face and genitals”

Answer 5

Central cord lesion

Question 6

tabes dorsalis-losso f sensation due to tertiary syphilis resulting in steppage gait, affects dorsal column sensations and loss of sensory everywhere except FACE

Answer 6

Posterior cord lesion

Question 7

loss of pain+motor Bilaterally (everywhere except genitals)

Answer 7

Anterior cord lesion

Question 8

caused by trauma, tumors, MS, transverse myelitis

Answer 8

Transverse cord

Question 9

caused by penetrating trauma (knife wound)

Answer 9

Hemisection aka Brown Sequard Syndrome

Question 10

Caused by Syringomyelia (repetitive neck trauma), contusion, cord tumor

Answer 10

Central cord

Question 11

Caused by trauma, MS, posterior tumor, B12 or iron deficiency

Answer 11

Posterior cord

Question 12

Anterior spinal artery compression, MS

Answer 12

Anterior cord