Spinal Cord Syndromes: CCS, Brown-Sequard & More

Why does Central Cord Syndrome (CCS) typically result in greater motor weakness in the upper limbs compared to the lower limbs?

A patient presents with bilateral loss of pain and temperature sensation in a 'cape-like' distribution. Which spinal cord syndrome is most likely associated with this presentation?

Which of the following is LEAST likely to be a cause of Central Cord Syndrome (CCS)?

A patient with Central Cord Syndrome exhibits weakness in both arms and some bladder dysfunction, but intact proprioception in both legs. Which neural structures are MOST likely spared?

In Brown-Séquard Syndrome, what sensory deficits would you expect to find ipsilateral to the lesion?

A patient has damage to the right side of their spinal cord (hemicord lesion). Which of the following signs would be expected on the left side of the body below the level of the lesion?

A patient presents with weakness in the right arm and loss of fine touch sensation in the right leg, along with loss of pain and temperature sensation in the left leg. Where is the MOST likely location of the spinal cord lesion?

Which of the following impairments helps differentiate between Central Cord Syndrome and Brown-Séquard Syndrome?

A patient presents with loss of light touch, vibration, and proprioception on the right side of their body below the lesion, but no loss of pain or temperature sensation. Which of the following is the MOST likely location of the lesion?

A patient with a suspected spinal cord lesion has difficulty maintaining balance when their eyes are closed, and struggles to recognize objects by touch. This presentation is MOST consistent with damage to which pathway?

A patient has an impairment of voluntary motor control on the right side of their body. Where is the MOST likely location of the lesion?

A patient presents with clumsiness and difficulty coordinating hand movements in their right upper limb, along with impaired light touch and vibration sense in the same limb. Which specific structure is MOST likely affected?

A patient with a known history of late-stage syphilis begins to exhibit signs of impaired proprioception and sensory ataxia. Which specific spinal cord structure is MOST likely involved in this patient's presentation?

A patient is diagnosed with subacute combined degeneration due to Vitamin B12 deficiency. What sensory deficits might you expect to see?

A patient with multiple sclerosis experiences a lesion affecting the right lateral corticospinal tract at the level of the medulla. What motor deficits would you MOST likely observe?

Following a spinal cord injury, a patient exhibits ipsilateral loss of light touch and proprioception in the right upper limb, but normal motor function. Which of the following is the MOST likely location of the lesion?

A patient exhibits spasticity, hyperreflexia, and a positive Babinski sign in their left leg following a spinal cord injury. Assuming an upper motor neuron lesion, where is the MOST likely location of the damage?

A patient reports a loss of pain and temperature sensation on their right side. Which spinal tract is MOST likely affected by a lesion?

A complete transverse spinal cord lesion at the T10 level would MOST likely result in which of the following impairments?

Damage to the dorsal columns of the spinal cord typically results in a loss of which sensory modalities?

A patient has an injury that affects the lateral corticospinal tract before it crosses in the medullary pyramids. Which of the following motor deficits would you MOST expect to observe?

A patient presents with a spinal cord lesion resulting in the loss of pain and temperature sensation on the right side of the body and impaired light touch sensation on the left side of the body. Where is the lesion MOST likely located?

Following a spinal cord injury, a patient exhibits exaggerated reflexes, increased muscle tone, and spasticity in the lower extremities. This suggests involvement of which of the following?

A patient presents with loss of proprioception on the left side of the body below the level of the umbilicus, but intact motor function. Where is the MOST likely location of the spinal cord lesion?

A patient presents with bilateral loss of pain and temperature sensation below the level of a spinal cord injury. Which spinal cord tract is most likely affected by this lesion?

Which of the following is NOT a common cause of a lateral spinothalamic tract lesion?

In Posterior Cord Syndrome, which sensory modalities are typically preserved?

A patient with Posterior Cord Syndrome exhibits difficulty walking in dimly lit environments. What is the most likely reason for this?

A patient demonstrates a positive Romberg's sign. Which of the following spinal cord syndromes is most likely associated with this finding?

Which of the following conditions is NOT typically associated with Posterior Cord Syndrome?

A patient exhibits loss of fine touch and vibration sense in both legs, but maintains normal motor strength and pain perception. Where is the most probable location of the lesion?

In a patient with complete loss of motor and sensory function below a spinal cord lesion, which of the following is the most likely underlying mechanism?

A patient presents with loss of voluntary movement and impaired pain/temperature sensation below the level of spinal cord injury, but retains light touch and proprioception. Which spinal cord syndrome is MOST likely?

Which vascular event is the MOST common cause of Anterior Cord Syndrome?

Which of the following clinical findings would be LEAST expected in a patient diagnosed with Posterior Cord Syndrome?

A patient with Anterior Cord Syndrome exhibits paralysis in both legs following a spinal injury. What additional clinical sign would be expected due to involvement of the corticospinal tract?

A patient with Anterior Cord Syndrome has lost pain and temperature sensation but retains light touch. Which specific anatomical structure(s) is/are spared in this syndrome that allows the patient to retain light touch?

Which of the listed conditions can cause Anterior Cord Syndrome by compressing the anterior portion of the spinal cord?

What is/are the key clinical features that differentiate Posterior Cord Syndrome from Anterior Cord Syndrome?

In a patient diagnosed with Anterior Cord Syndrome, which rehabilitative strategy would be MOST important to implement early in their care plan?

A patient presents with loss of fine touch and proprioception on the right side of the body below the level of the lesion. Where is the most likely location of the lesion?

Which of the following impairments would most likely result from a lesion of the right lateral corticospinal tract at the level of the thoracic spine?

A patient has loss of pain and temperature sensation on the left side of the body, starting a few segments below the lesion. Which spinal tract is most likely affected?

What is the MOST likely presentation of Central Cord Syndrome?

A patient presents with ipsilateral motor paralysis, ipsilateral loss of fine touch and proprioception, and contralateral loss of pain and temperature sensation. These symptoms are indicative of what condition?

A patient has complete bilateral loss of motor function, pain, and temperature sensation below the level of the lesion, but retains fine touch and proprioception. Which syndrome is the MOST likely cause?

Which of the following deficits would be MOST characteristic of Posterior Cord Syndrome?

A patient exhibits bilateral loss of motor function and pain/temperature sensation below the level of the spinal cord lesion, while preserving proprioception and fine touch. Which vascular disruption is MOST likely the cause?

Right Dorsal Column Lesion

Effects of Right Dorsal Column Lesion

Common Causes of Right Dorsal Column Lesion

Clinical Presentation of Right Dorsal Column Lesion

Right Fasciculus Cuneatus Lesion

Effects of Right Fasciculus Cuneatus Lesion

Common Causes of Right Fasciculus Cuneatus Lesion

Right Lateral Corticospinal Tract Lesion

Central Cord Syndrome (CCS)

Corticospinal Tract

Cape-like Distribution

Urinary Dysfunction in CCS

Hemicord Lesion

Ipsilateral Impairments

Dorsal Column-Medial Lemniscus (DCML)

Symptoms of Brown-Séquard Syndrome

Lateral Spinothalamic Tract

Bilateral Loss

Common Causes of Lesion

Posterior Cord Syndrome

Dorsal Columns

Sensory Ataxia

Intact Pain & Temperature

Romberg’s Sign

Monoplegia

Upper Motor Neuron (UMN) Signs

Spasticity

Contralateral Impairments

Transverse Cord Lesion

Dorsal Column Lesion

Babinski Sign

Anterior Cord Syndrome

Key Impairments of Anterior Cord Syndrome

Loss of Voluntary Movement

Preserved Sensations in Anterior Cord Syndrome

Common Causes of Anterior Cord Syndrome

Clinical Presentation

Upper Motor Neuron Signs

Loss of Pain and Temperature Sensation

Neurophysiology

Right Lateral Spinothalamic Tract Lesion

Brown-Séquard Syndrome