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Neuro Unit 2 Spinal Cord Pathology
Spinal Cord Pathology
79
Other
Graduate
03/04/2011

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Cards

Term
1) Trauma
2) Vascular Disease
3) Tumor
4) Disease
5) Other (infections, metabolic, etc)
Definition
Spinal Cord pathologies can be caused by ? (Name 5)
Term
males/80%
Definition
Trauma occurs primarily in males or females and what is the %.
Term
16 and 45
Definition
80% of Trauma occurs typically between the ages of ? and ?
Term
MVA/48%
Definition
What is the highest cause of Trauma to the spinal cord and what is the percentage.
Term
Falls (21%)
Definition
What is the 2nd highest trauma to the spinal cord and what is the %.
Term
older population
Definition
What population do falls typically occur in with regards to spinal cord trauma
Term
Violence (14.5%) and Sports (14%)
Definition
These 2 types of spinal cord trauma rank 3rd and 4th respectively. Name them and the respective percentages.
Term
diving
Definition
what is the most common sports-related traumatic injury to the spinal cord.
Term
True
Definition
True/False: hyperextension and hyperflexion of the neck can cause spinal cord injury
Term
2.5%
Definition
The other category in spinal cord trauma makes up what percentage.
Term
C4-C6 and T11-L1
Definition
Name the 2 most common injured sites to the spinal cord when trauma is involved.
Term
below
Definition
In regards to trauma to the spinal cord the loss of neurological function (motor and/or sensory) occurs (?above, at or below?) the level of the lesion.
Term
yes.
Definition
Does age or when the injury occured play a role in the symptoms you may see in a traumatic spinal cord injury?
Term
53% (25% complete, 28% incomplete)
Definition
What is the % of quadriplegia in a traumatic spinal cord injury with ?% complete and ?% incomplete.
Term
47% (28 complete, 19% incomplete)
Definition
What is the % of paraplegia in a traumatic spinal cord injury with ?% complete and ?% incomplete.
Term
Quadriplegia
Definition
In regards to quadriplegia and paraplegia in which is the % of incomplete injury higher than the complete %.
Term
Spinal Shock
Definition
Name a symptom of traumatic spinal cord injury other than loss of neurological function.
Term
S4-5
Definition
A complete lesion of the spinal cord is defined as the absence of sensory and motor function in ?(name the level)
Term
incomplete
Definition
Spinal cord syndromes are all considered to be complete or incomplete lesions?
Term
Anterior Cord Syndrome
Definition
In this syndrome there is damage to the anterior 1/2 to 2/3 of spinal cord.
Term
Anterolateral system
Definition
In Anterior cord syndrome there will be injury to this pathway causing a loss of pain/temp. (name the pathway)
Term
corticospinal/voluntary
Definition
In the Anterior cord syndrome, there is injury to this pathway (name it) and other descending motor tracts causing loss of (?voluntary or involuntary? ) motor activity.
Term
No
Definition
Are the posterior columns (dorsal column/medial lemniscus system) damaged in Anterior Cord Syndrome?
Term
Anterior Spinal Artery
Definition
In Anterior cord syndrome there is usually damage to this artery from bone fragments. (name the artery)
Term
Yes b/c the posterior columns (DCML pathway) are preserved.
Definition
Does a person retain proprioception and dicriminative touch in anterior cord syndrome. Explain your reasoning.
Term
Central Cord Syndrome
Definition
Name the syndrome in which injury is limited to central portions of gray and white matter of spinal cord.
Term
Central Cord Syndrome
Definition
Name the syndrome that results in motor and sensory loss primarily in UEs due to somatotopic organization of spinal pathways.
Term
Central cord syndrome
Definition
This spinal cord syndrome is common in individual with congenitally narrow spinal canals and in elderly with narrowing of spinal canal secondary to osteoarthritis.
Term
Brown-Sequard Syndrome
Definition
Hemisection of the spinal cord defines this syndrome. (name the syndrome)
Term
Brown-Sequard (Hemisection)
Definition
In this syndrome you will see loss of voluntary motor control, proprioception and discriminative touch ipsilaterally below the lesion
Term
ipsilaterally
Definition
In Brown-Sequard syndrome there is loss of voluntary motor control, proprioception and discriminative touch (?contralaterally or ipsilaterally?) below the lesion.
Term
contralaterally
Definition
In Brown-Sequard there is loss of pain/temp sensation (?ipsilaterally or contralaterally?) below the lesion.
Term
Cauda Equina Syndrome
Definition
Name the syndrome defined by an injury to the nerve roots of the cauda equina
Term
sacral segments
Definition
In Cauda Equina syndrome there is usually sensory loss in what segments of the spinal cord.
Term
Cauda Equina Syndrome
Definition
Name the syndrome in which the patient experiences flaccid paralysis of lower limb muscles, bowel and bladder.
Term
lower limb muscles, bowel and bladder
Definition
In Cauda Equina syndrome the patient experiences flaccid paralysis of ?, ? and ?
Term
Cauda equina syndrome
Definition
In which spinal cord syndrome do we see NO hypertonia or hyperreflexia.
Term
False.
Definition
True/False: In cauda equina syndrome you expect to see hypertonia and hyperreflexia.
Term
Cauda equina
Definition
This syndrome is considered a surgical emergency because if left untreated it can lead to permanent loss of bowel and bladder control and paralysis of the legs.
Term
Lower Motor Nerves
Definition
The FLACCID paralysis of the lower limb muscles, bladder and bowel of Cauda Equina syndrome tell us it involves Lower Motor Nerves or Upper Motor Nerves?
Term
Flaccid paralysis
Definition
One major characteristic used to identify a lower motor neuron lesion is flaccid paralysis or spastic paralysis.
Term
spastic paralysis/hypertonia
Definition
an upper motor neuron lesion, which often presents with (?flaccid or spastic?) paralysis - accompanied by severe ?
Term
1) Arteriovenous (A-V) malformation
2) Atherosclerosis
3) Hemorrhage
Definition
Name the 3 main causes of vascular disease in regards to spinal cord pathology.
Term
Anterior Spinal Artery
Definition
Name the PRIMARY vascular supply to the spinal cord.
Term
1) Location of injury
2) vessel affected
Definition
Symptoms in Vascular Disease (in regards to Spinal Cord Pathology) depend upon 2 things. Name the 2.
Term
metastasis
Definition
A tumor in regards to spinal cord pathology is most commonly secondary to ? from some other area.
Term
breast/prostate
Definition
A tumor (in regards to spinal cord pathology) is most commonly secondary to metastasis from some other area usually the ? or ?
Term
dermatome pattern
Definition
In a spinal cord tumor pathology, the patient will present with pain along ? or with back pain.
Term
location and size of the tumor
Definition
In regards to spinal cord tumor pathology, symptoms are related to the ? and ? of the tumor.
Term
epidural
Definition
In regards to a spinal cord tumor, the tumor is usually ? causing compression of the cord.
Term
Amyotrophic Lateral Sclerosis
Definition
What does ALS stand for ?
Term
2:1
Definition
ALS affects males ? over females (name the ratio)
Term
False. Onset is usually after age 50
Definition
True/False: With ALS the onset is usually before the age of 50
Term
Motor
Definition
With ALS there is destruction of motor or sensory pathways in the spinal cord?
Term
lateral funiculus/anterior horn cells
Definition
In ALS, the destruction of the motor pathways occurs in the ? and ? of the spinal cord.
Term
It is a mixed UMN and LMN lesion which progresses to complete LMNL.
Definition
In regards to upper and motor neurons what is unique to Lou Gehrig's disease?
Term
ALS (Lou Gehrig's Disease)
Definition
In this spinal cord pathology, there is a mixed UMN and LMN lesion progressing to complete LMNL.
Term
anterior horn
Definition
A lower motor neuron lesion is a lesion which affects nerve fibers traveling from the ? horn of the spinal cord to the relevant muscle(s)
Term
LMNL
Definition
Gullain Barre syndrome, botulism and cauda equina syndrome, trauma to peripheral nerves that sever the axons and poliomyelitis are all (?upper or lower?) motor nerve lesions.
Term
True
Definition
True/False: ALS is termed idiopathic meaning it is of unknown cause.
Term
respiratory failure
Definition
In ALS, death is due to ?
Term
3 to 5
Definition
It make take ? to ? years before someone with ALS dies due to respiratory failure.
Term
Syringomyelia
Definition
This is a rare, progressive spinal cord disorder with the onset occuring around 35-45 years.
Term
Syringomyelia
Definition
? is damage to the spinal cord due to the formation of a fluid-filled area within the cervical region of the spinal cord.
Term
shoulders.
Definition
Syringomyelia causes sensory loss in a cape-like distribution over the ?
Term
LEs
Definition
with Syringomyelia you will see motor loss in the Upper OR lower extremities.
Term
syringomyelia
Definition
The fluid buildup seen in ________ may be a result of spinal cord trauma, tumors of the spinal cord, or birth defects (specifically, "chiari malformation," in which part of the brain pushes down onto the spinal cord at the base of the skull).
Term
Syrinx
Definition
? accumulates CSF causing increased pressure in spinal cord, expanding cavity and compressing pathways in area.
Term
central
Definition
syringomyelia is a type of ? spina cord syndrome.
Term
ALS
Definition
Death often occurs within 3 - 5 years of diagnosis in this spinal cord pathology.
Term
autosomal recessive genetic disease
Definition
Friedreich's ataxia is an ? disease. This means you must get a copy of the defective gene from both your mother and father.
Term
Friedreich's ataxia
Definition
? is an autosomal recessive genetic disorder.
Term
Spinocerebellar
Definition
What tracts are initially affected in Friedreich's ataxia.
Term
white
Definition
In Friedreich's ataxia (?white or grey?) matter of the spinal cord slowly demylinates.
Term
Brown-Sequard Syndrome (Hemisection of spinal cord)
Definition
This spinal cord pathologoy is characterized by a motor deficit and numbness to touch and vibration on the same side of the spinal injury and loss of pain and temperature sensation on the opposite side.
Term
Anterior cord syndrome
Definition
? is a medical condition where the blood supply to the anterior portion of the spinal cord is interrupted
Term
Anterior Cord Syndrome
Definition
This Spinal cord pathology is characterized by loss of motor function below the level of injury, loss of sensations carried by the anterior columns of the spinal cord (pain and temperature), and preservation of sensations carried by the posterior columns (discriminative touch and proprioception).
Term
Central Cord Syndrome (CCS)
Definition
This spinal cord pathology has been reported to occur more frequently among older persons with cervical spondylosis
Term
Cervical spondylosis
Definition
? is a general term for age-related wear and tear affecting the disks in your neck. These changes later contribute to the development of cervical osteoarthritis in the joints that link your neck bones (facet joints) and may lead to Central Cord Syndrome.
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