Spinal Cord Compression Flashcards
Where does the UMN of the corticospinal tract travel between?
Motor cortex to anterior grey horn
The corticospinal tract decussates where?
Medulla
In a UMN lesion there is increased/decreased tone
Increased tone
In a UMN lesion there is hyper/hypo reflexia
Hyperreflexia
In an LMN lesion there is increased/decreased tone
Decrease
There is muscle wasting and fasciculations in LMN lesions. True/false?
True
Give some causes of acute spinal cord compression
Trauma
Tumours
Infection
Spontaneous haemorrhage
Give some causes of chronic spinal cord compression
Spondylosis
Tumours
Rheumatoid arthritis
What is the initial presentation of spinal cord transection?
Flaccid arreflexic paralysis
What is Brown-Sequard syndrome?
When there is cord hemisection
In Brown-Sequard syndrome, the ipsilateral spinothalamic sensory level and contralateral DCML levels are affected. True/false?
False - contralateral spinothalamic and ipsilateral DCML
What is the cause of central cord syndrome?
Hyperflexion/extension injury to already stenotic neck
How does central cord syndrome present?
Distal upper limb weakness
“Cape-like” spinothalamic sensory loss
Extradural tumours are usually metastases from where?
Lung
Breast
Kidney
Prostate
What tumour types are extramedullary intradural?
Meningioma
Schwannoma
