Term
|
Definition
| distal axons lost trophic factors -> die |
|
|
Term
|
Definition
upper plexus injury
C5 and C6 -> upper trunk
lose motor and sensory
waiter's tip hand
- shoulder muscle (infraspinatus), biceps, wrist extensor (extensory carpi radialis) |
|
|
Term
|
Definition
lower plexus injury
C8 and T1 -> lower trunk
claw hand
functional arm |
|
|
Term
| sxs of carpal tunnel syndrome |
|
Definition
nocturia dysesthesia
exacerbated by activity stressful to hand
lose grip strength (opponent pollicis)
atrophy and thenar muscle |
|
|
Term
| diagnostic test for carpal tunnel syndrome |
|
Definition
phallen's sign
tinel's sign |
|
|
Term
|
Definition
| compression on cauda equina |
|
|
Term
|
Definition
failure of cord folding and separation
dysfunction below lesion
hydrocephalus
cerebellum herniation -> chiari II malformation (breathing and swallowing difficulties) |
|
|
Term
|
Definition
CSF in the middle of spinal cord
Chiari malformation, trauma in spinal cord, intrinsic tumor in spinal cord
central cord syndrome in cervical region |
|
|
Term
|
Definition
damage to anterior spinal artery
lose: bilateral motor and pain
perserve: bilateral proprioception
very poor prognosis |
|
|
Term
|
Definition
damage to one half of spinal cord
lose: ipsilateral motor and proprioception, contralateral painful touch |
|
|
Term
|
Definition
injure middle of spinal cord
- central gray matter, crossing fiber of spinothalamic tract, some medial fiber of cortiospinal tract
dysesthestic pain bilateral
magician's cape like, and burning sensation of hands bilaterally
loss of UE motor function |
|
|
Term
|
Definition
less pain
more symmetric loss of motor function
dysfunction of bladder and bowel function
affect sacral reflexes only |
|
|
Term
|
Definition
more like nerve root compression
more pain,
asymmetic loss of motor function
loss of bowel and bladder function only when lower extremities have profound loss of function
affect lumbar and sacral reflexes |
|
|
Term
| management of spinal cord injury |
|
Definition
ABC
prevent neurogenic shock
immobilize spine
initial assessment
incomplete and progressively worsening injury -> early operative decompression and stabilization
aggressive rehabilitation |
|
|
