Spinal_Cord_Injury

Question 1

SCI Epidemiology
#/yr
%incomplete tetraplegia
Most common incomplete tetraplegia
%complete paraplegia
%complete tetraplegia
%incomplete quadriplegia

Answer 1

#/yr = 11,000
%incomplete tetraplegia 34%
Most common incomplete tetraplegia = central cord
%complete paraplegia 25%
%complete tetraplegia 22%
%incomplete quadriplegia 17%

Question 2

ASIA Classification

Answer 2

A complete

B sensory but no motor below injury

C more than 50% of muscles below injury grade 3 or less

D at least 50% of muscles below injury grade 3 or more

E normal

Question 3

Autonomic Dysreflexia

Answer 3

T6 or higher

Increase BP at least 20% with change in heart rate

Sweating, piloerection, facial flushing

Headache, blurred vision, stuffiness nose

Question 4

SCI % with major depressive disorder

Answer 4

11%

Question 5

Complete SCI return of LE motor

Waters

Answer 5

Above T9 none

Below T9 some

Below T12 20% eventually able to ambulated with conventional orthoses and crutches

Question 6

Complete SCI return of LE motor

Harris

Answer 6

Conus 92.9% improved one ASIA level or more compared to 22.4% in thoracic and thoracolumbar

Question 7

MRI finding most likely to predict a complete spinal cord injury

Answer 7

Hematoma within the cord

Question 8

Methylprednisolone 30/5.4 within 8 hrs is associated with what MRI finding?

Answer 8

Deceased extent of cord hemorrhage only