T2 L13: Lower limb nerve injuries and compression syndrome (RC)

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Which nerve is responsible for hip flexion?

Femoral nerve

Which nerve is responsible for knee extension?

Femoral nerve

Which nerve is responsible for ankle dorsiflexion?

Deep peroneal nerve

Which nerve is responsible for ankle plantar flexion?

Tibial nerve

Which nerve is responsible for ankle inversion?

Tibialis posterior

Which nerve is responsible for knee flexion?

Sciatic nerve

Which nerve is responsible for hip extension?

Inferior gluteal nerve

Which nerve is responsible for ankle eversion?

Superficial peroneal nerve

Which nerve is responsible for sensory loss in the thigh?

Lateral cutaneous nerve

Which nerve is responsible for sensory loss in the dorsum of the foot?

Superficial peroneal nerve

Which of the following is NOT a common cause of peripheral neuropathy?

Hypertension

What is the other name for Guillain Barre syndrome?

Acute inflammatory demyelinating polyneuropathy

Which of the following is NOT a symptom of Guillain Barre syndrome?

Fever

Which type of peripheral neuropathy specifically affects the population of neurons?

Neuronopathy

What is compartment syndrome?

An increase in pressure within a myofascial compartment

Which of the following is NOT a common site for compartment syndrome?

Chest

What is the consequence of untreated compartment syndrome?

All of the above

Which muscles are commonly affected in acute anterior compartment syndrome of the leg?

Tibialis anterior

What are the signs of compartment syndrome?

All of the above

What is the management of acute compartment syndrome?

Surgical intervention

Which nerve roots are involved in lower limb nerve injuries?

Lumbar and sacral plexus

What is the common cause of foot drop?

Peripheral neuropathy

What are the common causes of peripheral neuropathy?

Multiple sclerosis and chronic inflammatory demyelinating polyradiculopathy

What is the differential diagnosis of foot drop?

L5 and S1 nerve root impingement

What are the landmarks for lumbar puncture?

L1 and L2

What are the symptoms of cauda equina syndrome?

More severe pain and bilateral sensory disturbance

What are the symptoms of conus medullaris syndrome?

Perineum, thighs, and legs pain

What are the causes of compressive peripheral neuropathy?

Disc herniation and epidural abscess

What are the causes of non-compressive peripheral neuropathy?

Multiple sclerosis and chronic inflammatory demyelinating polyradiculopathy

What nerve root is usually impinged in sciatica?

L5

What is the main focus of the lecture?

Lower limb nerve injuries

What is the purpose of discussing foot drop in the lecture?

To discuss a common presentation of lower limb nerve injuries

Where does the majority of people's spinal cord end?

L1

What are the learning objectives of the lecture?

To understand the pathology of compartment syndrome

Which nerve root is predominantly responsible for ankle jerk reflex?

S1

Which nerve is responsible for knee flexion?

Sciatic nerve

Which nerve is responsible for ankle dorsiflexion?

Peroneal nerve

Which nerve root is predominantly responsible for knee extension?

L3

Which nerve is responsible for hip flexion?

Femoral nerve

What is the common cause of femoral nerve damage?

Fractures of the pubic ramus

Which nerve is responsible for knee extension?

Sciatic nerve

What is the main cause of sciatic nerve injuries?

Major trauma

Which nerve is responsible for supplying sensation to the lateral border of the foot?

Common peroneal nerve

Which nerve is vulnerable to fractures of the tibia and cysts and hemorrhages behind the knee?

Sciatic nerve

Which nerve is commonly compressed when crossing the legs, leading to difficulty in walking and foot numbness?

Common peroneal nerve

What is the easiest and safest nerve to biopsy for nerve biopsy procedures?

Common peroneal nerve

What is the most common cause of compressive lesions at the level of the conus medullaris?

Disc herniation

Which inflammatory condition specifically affects the peripheral nerves and can also involve the spinal cord?

Chronic inflammatory demyelinating polyneuropathy

What is the main symptom experienced by individuals with entrapment of the L5 or S1 nerve roots?

Sciatica

Which nerve root is more likely to be affected in compressive lesions at the level of the conus medullaris?

S1

Which of the following is a potential cause of foot drop?

A lesion in the motor cortex

What would be the presentation of a foot drop caused by a lesion in the motor cortex?

Weakness of the entire foot

What type of lesion could potentially cause a foot drop?

A focal spinal cord lesion

What would be the presentation of a foot drop caused by a focal spinal cord lesion?

Weakness of the entire foot

Which nerve roots could be involved in lower limb nerve injuries causing foot drop?

L4-L5

Which muscles are commonly affected in acute anterior compartment syndrome of the leg?

Ankle dorsiflexors

What is the main difference in pain presentation between quarter and CONUS lesions?

Quarter lesions tend to have more ridiculous shooting electrical pain, while CONUS lesions tend to have less pain

What is the difference in sensory disturbance between quarter and CONUS lesions?

Quarter lesions tend to have asymmetric sensory disturbance, while CONUS lesions tend to have symmetric sensory disturbance

What is the difference in motor loss between quarter and CONUS lesions?

Quarter lesions tend to have symmetric motor loss, while CONUS lesions tend to have asymmetric motor loss

What is the main difference in pain intensity between quarter and CONUS lesions?

Quarter lesions tend to be more painful, while CONUS lesions tend to be less painful

Test your knowledge on lower limb nerve injuries and compartment syndrome with this quiz. Learn about nerve roots, cauda equina, lumbar and sacral plexus, common patterns of lower limb nerve injury, differential diagnosis of foot drop, common causes of peripheral neuropathy, and diagnosis and management of compartment syndrome. Get ready to expand your understanding of these important topics in neurology.

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