WlwG Spine Flashcards
Single anterior disc enhancement, no calc, reduced disk height
Staph spondylodiscitis
Multilevel anterior and posterior disc enhancement with calcs
TB discitis
Empty thecal sac with clumping of cord
Arachnoiditis
Acute <2 months cauda equina enhancement/thickening
Guillain-Barre
Chronic >2 months cauda equina enhancement/thickening
CIDP
Narrowed spinal canal
Spinal stenosis
Dilated spinal canal
Syrinx (from Chiari malformation, trauma or tumour)
Diffuse T2-hyper cord oedema
Spinal dural AVF, do digital subtraction angiography (DSA)
Flowing anterior syndesmophytes
DISH
Multiple bone spurs at endplates of vertebra
Spondylitis Deformans
T2/flair-hyper lesions in white matter in spine
MS
T2/flair-hyper lesions in posterior white matter in spine
SACD (dorsal columns)
T2/flair-hyper lesions in anterior grey matter
Infarct
T2/flair-hyper lesions diffusely in grey matter
Ischaemia (transverse myelitis post-infn, neuromyelitis if optic nerves as well)
Spinal tumours: Cord, child, thoracic, T1-hypo
Astrocytoma
Spinal tumours: Cord, adult, cervical, T1-hypo
Ependymoma
Spinal tumours: Cord, adult/child, T1-hypo
HaemangioBlastoma
Spinal tumours: Canal, T1-hypo, T2-hyper
Nerve sheath tumour/Schwannoma
Spinal tumours: Inferior to conus, enhancing ++
Para-ganglioma
Spinal tumours: Thoracic, enhancing, T1/2-var
Meningioma
Spinal tumours: Multiple
Drop mets (“GGEM = Glioblastoma, Germinoma, Ependymoma, MedulloBlastoma”)
Spinal tumours: Extra-dural CSF cyst in dorsal root ganglion
Tarlov cyst/Peri-neural cyst
Spine defects: External visible defects
Dysraphism/Spina bifida
Spine defects: Cauda equina and cord compression in child
Tethered cord
Spine defects: Split lumbar vertebra
DiastematoMyelia
Spine defects: Anterolisthesis of C2 on C3 in child
Cervical pseudo-subluxation
Dermatomes: C4
Regimental badge
Dermatomes: C5
Lateral upper arm
Dermatomes: C6
Thumb
Dermatomes: C7
3rd finger
Dermatomes: C8
5th finger
Dermatomes: T1
Medial upper arm
Dermatomes: T2
Axilla
Dermatomes: L1
Waist (“1 waist, 2 legs”)
Dermatomes: L2
Lateral upper thigh (“1 waist, 2 legs’)
Dermatomes: L3
Anterior upper thigh
Dermatomes: L4
Medial lower leg
Dermatomes: L5
Lateral lower leg
Dermatomes: S1
5th toe
Dermatomes: S2
Posterio-medial upper thigh
Myotomes: C1/2
Neck flexion/extension
Myotomes: C3
Neck lateral movement
Myotomes: C4
Shoulder elevation (Trapezius)
Myotomes: C5
Shoulder abduction (Deltoid)
Myotomes: C6
Elbow flexion (Biceps/Brachioradialis/Brachialis)
Myotomes: C7
Elbow extension (Triceps)
Myotomes: C8
Finger flexion
Myotomes: T1
Finger abduction
Myotomes: L1/2
Hip flexion (Iliopsoas/Rectus femoris)
Myotomes: L3
Knee extension (Vastus)
Myotomes: L4
Ankle dorsiflexion and foot inversion
Myotomes: L5
Big toe extension
Myotomes: S1
Ankle plantarflexion and foot eversion
Reflexes: S1-2
Buckle my shoe (achilles)
Reflexes: L3-4
Kick the floor (patella)
Reflexes: C5-6
Pick up sticks (biceps)
Reflexes: C7-8
Lay them straight (triceps)
Reflexes: L1-2
Testicles
Reflexes: S3-4
Anal