Spinal Cord Flashcards
1
Q
Lesions of Spinal Cord
A
2
Q
A
3
Q
Def of Paraplegia
A
- Total or partial (paraparesis) loss of lower limbs motor & sensory functions d2 bilateral pyramidal tract lesion.
4
Q
Etiology of Paraplegia
A
5
Q
Etiology of Paraplegia
- Central Causes
A
6
Q
Etiology of Paraplegia
- Cerebral Causes
A
7
Q
Etiology of Paraplegia
- Brainstem Causes
A
8
Q
Etiology of Paraplegia
- Spinal Coed Causes
A
9
Q
CP of Paraplegia
A
- Vertebral Manifestations
- Radicular Manifestations
- Cord Manifestaions
10
Q
CP of Paraplegia
- Vertebral Manifestations
A
11
Q
CP of Paraplegia
- Radicular Manifestations
A
12
Q
CP of Paraplegia
- Cord manifestations
A
13
Q
Cord Manifestations of Paraplegia
- Motor
A
14
Q
Cord Manifestations of Paraplegia
- Sensory
A
- Complete level
- Level with preservation of deep sensation
- Jacket
- Brown-Sequard syndrome
15
Q
Cord Manifestations of Paraplegia
- Autonomic
A
16
Q
Compare between Extra & Intra Medullary
A
17
Q
Managment of Paraplegia
A
18
Q
Managment of Paraplegia
- General
A
Care of Vital signs, Skin, Sphincters “Bladder & Rectum”
19
Q
Managment of Paraplegia
- managment of the Cause
A
Surgical or Medical according to the etiology
20
Q
Managment of Paraplegia
- TTT of Spasticity
A
- Muscle relaxant
- Selective injection of the severe spastic muscle groups with Botulinum toxin.
21
Q
Etiology of Cauda Equina Syndrome
A
22
Q
Etiology of Cauda Equina Syndrome
- degenerative
A
Spondylosis and/or lumbar disc prolapse.
23
Q
CP of Cauda Equina Syndrome
A
24
Q
CP of Cauda Equina Syndrome
- Side?
A
Unilateral or Bilateral Asymmetrical
25
CP of **Cauda Equina Syndrome**
- Sequence of symptoms
Painful Onset, pain precedes motor or autonomic symptoms
26
CP of **Cauda Equina Syndrome**
- Pain
27
CP of **Cauda Equina Syndrome**
- Sphincter
28
CP of **Cauda Equina Syndrome**
- Radicular Motor Symptoms
29
CP of **Cauda Equina Syndrome**
- Radicular Sensory Symptoms
30
CP of **Cauda Equina Syndrome**
- Stretch Signs
Lassegue (straight leg raising test), Kernig's sign,
31
CP of **Cauda Equina Syndrome**
- Back
A. Obliteration of lumbar lordosis.
B. Scoliosis.
C. Pain - Tenderness.
D. Paravertebral muscle spasm.
32
INVx for **Cauda Equina Syndrome**
- Plain X-ray
- CT Lumbosacral
- MRI Lumbosacral
33
TTT of **Cauda Equina Syndrome**
- Medical
- Surgery
34
TTT of **Cauda Equina Syndrome**
- Surgery
35
TTT of **Cauda Equina Syndrome**
- medical
- Complete bed rest
- Analgesics.
36
Site of **Conus Medullaris Syndrome**
Conus = S3,4,5 segments
37
Symptoms of **Conus Medullaris Syndrome**
38
Site of **Epiconus Medullaris Syndrome**
Epiconus = L4,5 S1,2 segments
39
CP of **Epiconus Medullaris Syndrome**
40
Causes of **Hemiplegia**
41
CP of **Hemiplegia**
42
CP of **Hemiplegia**
- Onset & Course
43
CP of **Hemiplegia**
- Symptoms
**On the hemiplegic Side**
- Paralysis
- Ms Tone
- Deep Reflexes
- Superficial Reflexes
- Babniski Sign
- Clonus
44
CP of **Hemiplegia**
- Side
These are found on the hemiplegic side
45
CP of **Hemiplegia**
- Paralysis
46
CP of **Hemiplegia**
- Ms Tone
47
CP of **Hemiplegia**
- Deep Reflexes
48
CP of **Hemiplegia**
- Superficial Reflexes
The abdominal and cremasteric reflexes are lost.
49
CP of **Hemiplegia**
- Babniski Sign
Positive
50
CP of **Hemiplegia**
- Clonus
- May be present in the ankle.
- Less frequently in the knee and wrist.
51
Level of the lesion in **Hemiplegia**
- Spinal Cord
52
Level of the lesion in **Hemiplegia**
- Brain Stem
53
Lesion in **Hemiplegia**
- Cerebral
54
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
55
Managment of **Hemiplegia**
- General
- Symptomatic
- Physio-Therapy
- Specific
