spinal cord compression Flashcards
1
Q
features of UMN lesion
A
^ tone muscle wasting later no fasciculation's hyper reflexia babinski sign +ve (toes point UP)
2
Q
features of LMN lesion
A
decreased tone hyporeflexia muscle wasting early fasciculation's babinski sign -ve (toes point DOWN)
3
Q
who usually gets central cord syndrome
A
elderly person - hyperflexion/extension injury in already stenotic neck
4
Q
predominant feature of central cord syndrome
A
distal upper limb weakness
5
Q
what does brown sequard affect
A
ipsilateral motor level
ipsilateral dorsal column
contralateral spinothalamic
6
Q
tumours can cause spinal cord collapse. what drug would you give?
A
big IV dose of dexamethasone to reduce swelling in the cord
7
Q
what does cord transection initially present with?
A
flaccid areflexic paralysis “spinal shock”
then UMN signs later
