Disease of the Spinal Cord Flashcards Preview

Neurology > Disease of the Spinal Cord > Flashcards

Flashcards in Disease of the Spinal Cord Deck (11)
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1
Q

What are the causes of myelopathy and radiculopathy?

A
Inflammation 
Infiltration 
Infarction 
Tumour 
Haemorrhage 
Trauma
2
Q

What are the expected motor signs of UMN pathology affecting the spinal cord/nerve roots?

A

No wasting
Increased tone
Increased reflexes
Pyramidal pattern of weakness

3
Q

What are the expected motor signs of LMN pathology affecting the spinal cord/nerve roots?

A

Wasting
Decreased tone
Decreased reflexes
Weakness

4
Q

What is ridiculopathy?

A

Dermatomal pattern of sensory loss

5
Q

What are the causes of spinal cord ischaemia?

A
Arterial dissection 
Artheromatous disease 
Thromboembolic disease 
Systemic hypotension 
Vasculitis 
Hyperviscosity syndromes
6
Q

What is the clinical presentation of a spinal cord stroke?

A

Back pain, visceral referred pain
Weakness
Numbness and parathesia
Bowel and bladder incontinence

7
Q

What is the investigations for spinal cord stroke?

A

CT

8
Q

What is the treatment for spinal cord stroke?

A
Maintain adequate BP 
Bed rest 
Reverse hypovalaemia/arrhythmia 
OT and physiotherapy 
Manage vascular risk factors
9
Q

What are the causes of transverse myelitis?

A
Idiopathic 
Viral 
Autoimmune 
Malignancies 
Post vaccination (chicken pox, rabies)
10
Q

What are the consequences of B12 deficiency?

A

Pernicious anaemia
Myelopathy
Peripheral neuropathy

11
Q

What are the signs of B12 deficient myelopathy?

A

Parathesia of hands and feet, areflexia
Paraplegia
Sensory ataxia
Painless retention of urine