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6 Cards in this Set
- Front
- Back
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Describe the presentation, causes, and pathophysiology of anterior cord syndrome.
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When blood supply to anterior spinal cord is interrupted.
Anterior spinal cord supplied by ANTERIOR SPINAL ARTERY which comes from branches of the aorta. Causes: - Hyperflexion - Anterior spinal cord occlusion - AAA - Disc protrusion/mass effect Presentation: - Everything except the dorsal columns are affected - Proprioception/vibration OK - Corticospinal tract - motor function loss at and below level of injury bilaterally - Spinothalamic tract - pain/temperature loss at/below level of injury bilaterally |
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Describe the presentation and causes of central cord syndrome.
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Causes:
- Hyperextension (especially in cervical spondylosis) - Syringomyelia - Spinal stenosis/OA - Tumor Presentation: - Loss of motor>sensory - Loss in UL>LL - Loss in distal>proximal - Bladder affected |
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Most common syndrome in acute cervical spinal cord injury.
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Central cord syndrome
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Describe causes and presentation of cord hemisection.
What is the name of this syndrome? |
Brown Sequard Syndrome
Causes - Trauma - MS - Tumor/abscess/mass effect Presentation - Ipsilateral motor/proprioception loss (remember, they both cross high up) - Contralateral pain/temperature loss (remember, they almost cross right away) |
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Describe the causes and presentation of complete cord syndrome
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Causes:
- Trauma - Infarct - Tumor/Abscess/Mass effect - Transverse myelitis Presentation: - Complete sensory loss below level of injury - Complete paralysis below level of injury |
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Describe the causes and presentation of Cauda Equina Syndrome.
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Causes:
- Disc protrusion - Tumor/Abscess/Mass effect Presentation: - Saddle anesthesia - Urinary retention/bowel incontinence - Sexual dysfunction |
