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NPTE Neuro > Spinal Cord Injury (SCI) > Flashcards

Spinal Cord Injury (SCI) Flashcards

1
Q

What is ASIA level E?

A

Normal

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2
Q

What is ASIA level D?

A

Motor Incomplete:

  • Motor preserved below neurologic level
  • Most key muscle below are > 3/5 MMT
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3
Q

What is ASIA level A?

A

Complete:

  • No sensory or motor in sacral segments S4-S5
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4
Q

What segmental injury causes an Areflexive Bladder?

What does it cause?

A
  • Below T12
  • Urinary retention → BAD
    • Cannot empty
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5
Q

What is ASIA level B?

A

Sensory Incomplete:

  • Sensory, but not motor, preserved below neurologic level
  • S4-S5 working
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6
Q

What segmental injury causes a Reflexive Bladder?

What does it cause?

A
  • Above T10-12
  • CAN empty bladder
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7
Q

What are the characteristics of Cauda Equina Syndrome?

A
  • Flaccidity
  • Areflexia
  • Impaired bowel & bladder function
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8
Q

What is the typical mode of injury for Brown-Sequard Syndrome?

A

Stab wound

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9
Q

What mode of injury typically causes Anterior Cord Syndrome?

A

Flexion

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10
Q

At what spinal level injury do you need to watch for autonomic dysreflexia (AD)?

A

T6 & above

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11
Q

Is full recovery expected for Cauda Equina Syndrome?

A

Not typically

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12
Q

What is ASIA level C?

A

Motor Incomplete:

  • Motor preserved below neurologic level
  • Most key muscle below are < 3/5 MMT
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13
Q

What are potential complications of SCI?

A
  • Ectopic bone (spontaneous bone growth in soft tissue)
  • Orthostatic hypotension (20 SBP or 10 DBP)
  • DVT
  • Pressure Ulcers
  • Spasticity
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14
Q

What do people with Brown-Sequard Syndrome loss?

A

Same side:

  • Vibration
  • Position sense

Opposite side:

  • Pain
  • Temperature
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15
Q

At what spinal level injury can you do a SELF transfer?

A

C7

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16
Q

What is Sacral Sparing?

Does it occur in complete or incomplete injuries?

A
  • Spares: saddle region, big toe flexors and rectal sphincter
  • Incomplete lesion
17
Q

At what spinal level injury can you use tenodesis grasp?

A

C6 & C7

18
Q

What is more affected in Central Cord Syndrome:

Motor or sensory?

A

Motor

19
Q

At what level does Cauda Equina Syndrome occur?

A

L1 and below

20
Q

Is Cauda Equina Syndrome a complete or incomplete injury?

A

Either

More Incomplete than complete

21
Q

What do people with Anterior Cord Syndrome loss?

A

Below level of injury:

  • Motor function
  • Pain
  • Temperature
22
Q

At what spinal level injury can you learn a self-assisted cough?

A

C5

  • Diaphragm, scalenes and weak pecs
  • Elbow flexors → used for abdominal contraction
23
Q

What is the typical mode of injury for Central Cord Syndrome?

A

Hyperextension

24
Q

Is Cauda Equina Syndrome considered a central or peripheral nerve injury?

A

peripheral

25
Q

What is more affected in Central Cord Syndrome:

Upper or lower extremities?

A

Upper extremities

26
Q

What are the signs and symptoms of autonomic dysreflexia?

A

Above the level of injury:

  • Fever
  • Sweating
  • Inc BP & HR

**symptoms will worsen until noxious stimulus is removed (exercise, catheter, etc.)

NPTE Neuro (13 decks)

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