Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Neurology week 5 > Spinal cord compression > Flashcards

Spinal cord compression Flashcards

1
Q

How many neurones make up the corticospinal tract?

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where does an upper motor neurone connect in the corticospinal tract

A

From the motor cortex to the anterior grey horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where does the corticospinal tract decussate?

A

At a medullary level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Is the corticospinal tract ipsilateral or contralateral?

A

Ipsilateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Features of UMN lesion?

A

Increased tone
No fasciculation
Hyper-reflexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Features of LMN lesion

A

Weakness
Atrophy
Hyporeflexia
Fasciculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where does the spinothalamic tract decussate?

A

At the spinal level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Is the spinothalamic tract ipsilateral or contralateral?

A

Contralateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where do the dorsal columns decussate?

A

Medullary level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Are the dorsal columns ipsilateral or contralateral

A

Ipsilateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What functions do the dorsal columns carry?

A

Fine touch
Proprioception
Vibration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What functions does the spinothalamic tract carry?

A

Pain
Temperature
Crude touch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Causes of acute spinal cord compression?

A

Trauma
Tumours
Infection
Spontaneous haemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Causes of chronic spinal cord compression?

A

Degenerative disease-Spondylosis
Tumours
Rheumatoid arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a cord transection?

A

A complete lesion knocking out all motor and sensory modalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Signs of cord transection?

A

Initially flaccid arreflexic paralysis

UMN sign appear later.

17
Q

What is the Brown-Sequard syndrome?

A

Cord hemisection

Ispilateral motor level
Ipsilateral and dorsal column sensory level
Contralateral spinothalamic sensory level

18
Q

What is central cord syndrome?

A

Hyperflexion or extension injury to already stenotic neck?

19
Q

Features of central cord syndrome?

A

Predom. distal upper limb weakness
Cape like spinothalamic sensory loss
Lower limb power preserved
Dorsal columns preserved

20
Q

Presentation of chronic spinal cord compression

A

Same as acute but UMN signs predominate

21
Q

How can spinal canal stenosis cause Spinal cord compression

A

Ostephytes
Bulging of IV discs
Facet joint hypertrophy
Subluxation

22
Q

Treatment of spinal cord compression

A

Immobilise
X ray/CT
Methylprednisolone
Decompress and stabilise

Neurology week 5 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions