spinal cord and concussion

Question 1

What are the symptoms of a concussion?

Answer 1

diff. evry pt. look for headache, dizziness, ataxia, deep tendon reflex problems, muscular strength problems, mental status changes.

Question 2

What are the 2 evaluating tests for concussion/

Answer 2

SCAT2 and SAC.

Question 3

Is it important to have a baseline test when evaluating concussion?

Answer 3

yes, that way you can see how severe their symptoms are.

Question 4

When managing a concussive patient, what should you do?

Answer 4

allow them to rest, do not play sporst for 7-10 days.

Question 5

When there is a TBI, what shoudl you always suspect?

Answer 5

spinal cord injury

Question 6

urinary retntion, constipation, hypotension, bradyacardia, quadrapelagia sparing the face can be symptoms of what?

Answer 6

spinal cord injury

Question 7

What is the best way to evaluate for spinal cord injury?

Answer 7

CT scan is the BEST
use plain films to look odontoid area.
MRi can be used to the integrity of the cord

Question 8

Which type of spinal cord injury can patients have a chance of recovery from?

Answer 8

incomplete.

Question 9

How will incomplete spinal cord lesions present as?

Answer 9

They will show as complete, but slowly over time they will be able to regain their function.

Question 10

Where does the lesion have to be in order to affect breathing

Answer 10

High cervical regions that are above the cervical region.

Question 11

a lower than cervical region is not likely to cause?

Answer 11

respiratory failure.

Question 12

in which condition woudl you experience bilateral paralysis, decreased pain/temperature sensation distal to the lesion. but the vibration and position sense are preserved?

Answer 12

anterior cord syndrome

Question 13

anterior cord syndrome has a high chance of full recovery- t/f

Answer 13

false- it only has a 10% chance to regain significant function

Question 14

What causes anterior cord syndrome?

Answer 14

flexion injuries or laceration of anterior spinal artery from vertebral fractures

Question 15

Which condition affects the gray matter in the spinal cord and presents with decreased pain/temperature sensation and muscle weakness in the upper extremities bilaterally.

Answer 15

Central cord syndrome.

Question 16

In central cord syndromre the legs are commonly involved. t/ f

Answer 16

false- they will usually not be involved.

Question 17

Will central cord syndrome patients regain their bowel and bladder control.

Answer 17

yes, they will still have problems with their upper limbs due to the gray matter injury.

Question 18

which condition will have loss of motor function, decreased proprioception and vibration on the side of lesion, and loss of pain and temperature on the contralteral side. They will still have bowel and bladdder control preserved.

Answer 18

brown sequard syndrome

Question 19

brown sequard syndrome affects what?

Answer 19

they will sever half their spinal cord through a gunshot wound or a compression of the cord.

Question 20

Which condition will be able to maintain walking with a leg brace?

Answer 20

brown sequard syndrome

Question 21

which syndrome presents with decreased sensation over buttocks, perineal bilateral leg pain and weakness of LMN, bowel and bladder dysf.

Answer 21

cauda equina syndrome

Question 22

which nerve is damaged in the cauda equina syndrome?

Answer 22

peripheral nerve.

Question 23

Does cauda equina have a good prognosis for recovery?

Answer 23

yes