Spinal Cord Compression Flashcards

1
Q

What sensations are carried within the:

  1. Spinothalamic tract
  2. Dorsal colums
A
  1. Pain, temperature and crude touch

2. Fine touch, propriocepton and vibration

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2
Q

What happens initially following a cord transection?

A

A flaccid areflexic (absent reflexes) paralysis

- UMN signs appear later due to “Spinal Shock”

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3
Q

What symptoms arise in a Brown-Sequard syndrome? (Cord Hemisection)

A
  • Ipsilateral motor paralysis
  • Ipsilateral loss of fine touch, proprioception and vibration (dorsal columns)
  • Contralateral loss of pain, temperature and crude touch sensation (spinothalamic)
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4
Q

What symptoms arise in a central cord syndrome?

A
  • Hyperflexion or extension injury
  • Distal upper limb weakness
  • ‘Cape-like’ spinothalamic sensory loss
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5
Q

What is different about chronic spinal cord compression compared to acute?

A

UMN signs predominate

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