Spinal Cord Compression

Question 1

Acute causes of spinal cord compression?

Answer 1

Trauma
Tumours
Infection
Spontaneous haemorrhage

Question 2

Types of potential tumours causing acute spinal cord compression?

Answer 2

Extradural - mets
Intradural:
- extramedullary - meningioma/ schwannoma
- intramedullary - astrocytoma / Ependymoma

Question 3

Potential infections causing acute spinal cord compressions?

Answer 3

Epidural abscess
Surgery
Trauma

Question 4

Causes of chronic spinal cord compressions?

Answer 4

Tumours
Rheumatoid arthritis
Degenerative disease

Question 5

What degenerative disease can cause chronic spinal cord compression?

Answer 5

Spondylosis 
Osteocytes
Bulging discs 
Facet joint hypertrophy 
Subluxation

Question 6

Presentation of complete cord transection?

Answer 6

Complete loss of sensation below the level

Complete paralysis below the level

Question 7

What is brown sequard syndrome?

Answer 7

Cord hemisection

Question 8

Presentation of cord hemisection?

Answer 8

Ipsilateral loss of motor and propioception - motor and dorsal column
Contralateral loss of pain and temperature - spinothalamic

Question 9

Presentation of anterior cord syndrome?

Answer 9

Motor function impaired
Pain and temperature loss
Propioception spared

Question 10

How do you get a central cord syndrome?

Answer 10

Hyperflexion/ extension injury to stenotic neck

Question 11

Presentation of central cord syndrome ?

Answer 11

Motor impairment more than sensory
Upper limbs affected more than lower limbs
Distal affected more than proximal
Bladder dysfunction