Incomplete Spinal Cord Transection Overview
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Questions and Answers

Which of these factors influence the degree of dysfunction in an incomplete spinal cord transection?

  • The level of the injury
  • The type of injury
  • The degree of transection
  • All of the above (correct)
  • What is the primary hallmark of a complete spinal cord transection?

  • Loss of sensation below the level of injury
  • Loss of motor function below the level of injury
  • Loss of both sensation and motor function below the level of injury (correct)
  • Loss of reflexes below the level of injury
  • Which type of incomplete spinal cord transection involves damage primarily to the central portion of the spinal cord?

  • Anterior cord syndrome
  • Central cord syndrome (correct)
  • Brown-Séquard syndrome
  • Posterior cord syndrome
  • What is a potential complication that can worsen the outcome of a spinal cord injury?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following injuries is characterized by a loss of control of both the trunk and lower body?

    <p>Thoracic level injury (B)</p> Signup and view all the answers

    Which of these imaging techniques can be used to diagnose a spinal cord injury?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is NOT typically a part of the treatment for a suspected vertebral injury?

    <p>Administration of antibiotics (A)</p> Signup and view all the answers

    What is the prognosis for patients with incomplete spinal cord transections?

    <p>Recovery is possible, but often incomplete (A)</p> Signup and view all the answers

    Flashcards

    Incomplete Spinal Cord Transection

    A spinal injury where some neural function remains below the injury site.

    Neuronal Transmission

    The process through which signals are sent along neurons.

    Central Cord Syndrome

    A type of incomplete spinal cord injury where upper body function is impaired more than lower body.

    Anterior Cord Syndrome

    Characterized by loss of motor function and pain sensation below the injury, while some position sense remains.

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    Brown-Séquard Syndrome

    Results from a hemisection of the spinal cord, causing loss of movement on one side and loss of sensation on the other.

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    Quadriplegia

    Loss of function in all four limbs due to cervical spinal cord injury.

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    Paraplegia

    Loss of function in the lower half of the body due to thoracic or lumbar injury.

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    Diagnosis of Spinal Injury

    Involves physical exams and imaging studies to assess spinal damage.

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    Study Notes

    Incomplete Spinal Cord Transection

    • Spinal cord injury causes alterations in neuronal transmission
    • Dysfunction depends on segmental level, injury type, and severity of transection
    • Categories include complete transection (loss of function below injury), partial transection (categorized by syndromes), including central cord, anterior cord, and Brown-Séquard
    • SCI can result in complications such as ischemia, hemorrhage, necrosis, and edema
    • Varying degrees of loss of function
    • Cervical injury (C1-C2) leads to quadriplegia, impacting involuntary function, body temperature regulation, and potentially respiratory support
    • C4 or above injuries preserve upper body function
    • Thoracic injuries (T1) affect trunk and lower body control — resulting in paraplegia
    • Lumbar and sacral level injuries result in loss of lower extremity control
    • Diagnosis involves physical exam (cognitive, motor, sensory function) for conscious patients or diagnostic testing (imaging: X-ray, CT, MRI, myelography) for those with neck pain, weakness, or unconsciousness
    • Treatment includes immediate immobilization of the spine to prevent further damage, followed by pharmacologic intervention (corticosteroids to prevent inflammation), and surgical intervention (fracture correction and spinal cord decompression)
    • Full recovery is rare, impairments are typically permanent, and currently, there's no cure

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    Description

    Explore the complexities of incomplete spinal cord transection, focusing on how injuries affect neuronal transmission and function. Understand the different types of injuries, their classifications, and potential complications. This quiz will delve into the consequences of spinal cord injuries at various segmental levels.

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