Spinal Cord Pathology Flashcards
What are the nerves of spinal cord -> myelopathy
C1-L2
What are the nerves for the lumbar/sacrum -> Cauda Equina
L3
What is hemiplegia
One side of body paralysis (Brain lesion)
What is paraplegia
Both leg paralysis (Cord lesion)
What are the types of signs found in spinal cord lesions
Sensory Ipsilateral
Motor Contralateral signs
What are the ipsilateral signs found in ascending dorsal root lesions
Fine touch
2pt Discrimination
Proprioception
What are the ipsilateral signs found in the ascending spinothalamic tract lesions
Pain and temperature loss
Temperature change
What causes the contralateral motor signs found in spinal cord lesions
Damage to the Corticospinal tract
What nerves cause the knee jerk
L3/L4
What nerves cause the Big toe jerk
L5
What nerve causes the Ankle jerk
S1
Compression of what nerves cause Myelopathy
C1 -L1/L2
What causes Myelopathy
Vertebral body neoplasms from mets
Herniations and disc prolapse of spinal cord
What are the signs of Myelopathy
Progressive leg weakness
UMN signs
Sensory loss below lesion
Late sphincter involvement
What are the investigations for myelopathy
MRI SC
CXR for malignancy
CXR = Malignancy?