Term
Brown Sequard Syndrome
Which tracts are affected |
|
Definition
Corticospinal tract
Fasiculus gracilis
Spinothalamic tract |
|
|
Term
| Result of damage to the corticospinal tract? |
|
Definition
|
|
Term
| Result of damage to the fasiculus gracilis |
|
Definition
| loss of vibration proprioception |
|
|
Term
| Result of damage to the spinothalamic tract |
|
Definition
| loss of pain and temperature |
|
|
Term
| What is lost on same side during brown sequard syndrome |
|
Definition
loss of light touch, deep pressure, proprioceptive sensation
decreased reflexes
lack of superficial reflexes
clonus
+babinski sign |
|
|
Term
| What is lost on the contralateral side of brown sequard syndrome and what is a + prognostic factor |
|
Definition
loss of pain and temperature
+ factor is preservation of motor function in the dominant hand |
|
|
Term
| signs and symptoms of anterior cord syndrome |
|
Definition
| loss of motor function (corticospinal tract) and loss of pain and temperature (spinothalamic tract) |
|
|
Term
| What senses are located in the posterior column? |
|
Definition
proprioception, kinesthesia, vibratory, deep pressure sense
epicritic sensations (graphesthesia, stereognosis, two point discimination) |
|
|
Term
| Prognostic factors for central cord syndrome |
|
Definition
higher level of education
absence of spasticity
younger age |
|
|
Term
| gait pattern of posterior cord syndrome? |
|
Definition
|
|
Term
| what does damage to S4 S5 segments interfer with? (conus medullaris syndrome) |
|
Definition
bladder and bowel function
sexual function
decreased perianal sensation
diminished achilles reflexes
usually bilateral and symmetric |
|
|
Term
| list the clinical manifestations of SCI |
|
Definition
motor and sensory impairments
autonomic dysreflexia
postural hypotension
impaired temperature control
respiratory impairment
spasticity
bowel and bladder dysfunction
sexual dysfunction |
|
|
Term
autonomic dysreflexia
what is the hallmark symptom and what above what level SCI does it happen? |
|
Definition
above T6
hallmark is elevated bp 20-40mmHg |
|
|
Term
| symptoms of autonomic dysreflexia |
|
Definition
increased systolic bp
bradycardia
HA
profuse sweating
vasodilation/flushing above lesion level
piloerection
blurred vision |
|
|
Term
| what are the causes of autonomic dysreflexia and what position should you put the pt in? |
|
Definition
Bladder distension: urinary retention**
rectal distention
pressure sores
UTI
Infection
Noxious cutaneous stimuli
Have pt sit up |
|
|
Term
| 3 ways to manage postural hypotension |
|
Definition
compression stockings
abdominal binder
slow progression to upright |
|
|
Term
| 3 ways to prevent/treat respiratory complications |
|
Definition
deep breathing
positioning
assisted cough |
|
|
Term
| Important places to check for skin inspection |
|
Definition
heels
ischial tuberocity region
any region with poor sensation and WB |
|
|
Term
|
Definition
| syrinx: tapered, fluid filled cavity within spinal cord |
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