Spinal Cord Syndromes in Neck Injuries
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Questions and Answers

Which syndrome is characterized by upper extremity weakness and 'cape-like' loss of pain and temperature sensation?

  • Anterior Cord Syndrome
  • Central Cord Syndrome (correct)
  • Brown Sequard Syndrome
  • Medial Medullary Syndrome
  • What type of injury is most commonly associated with Anterior Cord Syndrome?

  • Neck hyperextension
  • Head trauma
  • Spinal compression
  • Neck flexion (correct)
  • Which of the following correctly describes Brown Sequard Syndrome?

  • Loss of proprioception with no effect on pain sensation
  • Bilateral motor weakness and sensory loss
  • Ipsilateral loss of pain sensation and contralateral loss of motor function
  • Ipsilateral loss of motor function and contralateral loss of pain sensation (correct)
  • Medial medullary syndrome primarily results from which of the following?

    <p>Ischemic stroke</p> Signup and view all the answers

    Which symptom is most characteristic of Central Cord Syndrome in clinical presentation?

    <p>Cape-like loss of pain and temperature sensation in upper extremities</p> Signup and view all the answers

    Study Notes

    Spinal Cord Syndromes

    Central Cord Syndrome

    • Typically occurs with neck hyperextension in adults over 50
    • Presents with:
      • Pronounced upper extremity weakness
      • "Cape-like" loss of pain and temperature sensation
      • Damage to ventral horn and spinothalamic tracts at the cervical spine level

    Anterior Cord Syndrome

    • Commonly associated with neck flexion injuries
    • Results in damage to:
      • Corticospinal tracts
      • Spinothalamic tracts
    • Presents with:
      • Pronounced lower extremity symptoms
      • Upper motor neuron signs below the level of the lesion

    Brown Sequard Syndrome

    • Characterized by:
      • Ipsilateral loss of motor function
      • Ipsilateral loss of medium to large sensory fibers (vibration, proprioception, fine touch)
      • Contralateral loss of pain and temperature

    Medial Medullary Syndrome

    • Typically results from a stroke
    • Presents with:
      • Weakness in the tongue (cranial nerve XII)
      • Hemiplegia

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    Description

    Spinal cord syndromes resulting from neck injuries, including central cord syndrome and anterior cord syndrome, causing varying degrees of weakness and loss of sensation in the upper extremities.

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