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11 Cards in this Set
- Front
- Back
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What is the most common presenting complaint of spinal metastasis?
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pain in 90%, neuro deficits in a range of 50-77% and 30-40% have bowel & bladder incont
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What is the etiology rucksack palsy?
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rucksack palsy leads to traction on the upper plexus causing pain, neck pain, sensory symptoms in the lateral arms
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Why is Lyme disease less likely in the differential of a classic GBS like picture?
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Lyme disease does not cause a picture of flaccid paralysis
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What is the most common cause of intramedullary spinal hemorrhage?
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trauma
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Describe the typical triad associated with CMV radiculitis
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severely painful (main sensory sx)
multiple root involvement areflexia or hyporeflexia impaired bowel & bladder sphincter |
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In the cervical spinal cord, where do the roots exit in relation to vertebra-above or below?
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roots exit above their vertebra in the cervical spinal cord
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What level radiculopathy does straight-leg raise help elicit symptoms for?
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L5 S1
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What does reverse straight leg test for?
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Reverse straight leg tests for femoral neuropathy by putting traction on the femoral nerve
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What does inward and outwarde rotation with the knee flexed in a straight leg raise position test for?
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hip joint disease
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What type of neurologic symptoms does folate deficiency present with?
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Rare source of myelopathy, but can present with a similar picture to subacute combined degeneration
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A 50-year-old man comes to his physician for follow-up on a progressive problem with coordination. At about age 40, he began to notice stiffness and slowness of movement along with slurred speech. He continued to work but had several falls on the job and found himself “hugging the walls.” Over the next few years, he developed increased tone in the limbs with spasticity noted on examination, as well as wasting of his intrinsic hand muscles. By his late 40s, he was noted to have lid retraction, severe dysarthria, and gait ataxia, along with hand and proximal lower extremity weakness. At that time, no reflexes could be elicited. Studies obtained included brain MRI, which revealed moderate cerebellar atrophy, as well as EMG, which showed an advanced axonal sensorimotor neuropathy. At age 50, he remained cognitively intact but could no longer walk. The patient’s 25-year-old daughter is concerned about the possibility of inheriting her father’s condition; the patient’s mother was in a wheelchair by age 50 and died 5 years later. What is the probability of this occurring
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Machado Joseph disease
50% pattern of inheritance because Autosomal dominant |
