Myelopathy is any pathological condition of the spinal cord.
Radiculopathy is any pathological condition of the spinal cord.
Myelopathy is any pathology of a spinal nerve root.
Radiculopathy is any pathology of a spinal nerve root.
Radiculopathy causes UMN signs.
Myelopathy causes UMN signs.
Myelopathy causes LMN signs.
Radiculopathy causes LMN signs.
Which of the following are UMN signs?
Motor weakness
(+) Babinski
spasticity
hyper-reflexia
clonus
fasciculations
atrophy
hypo-reflexia
Which of the following are LMN signs?
If your patient has symptoms along the L5 spinal nerve root, which disc might be herniated?
L3/4
L4/5
L5/S1
L2/3
L1/2
If your patient has symptoms along the L5 spinal nerve root, lateral foraminal stenosis of which level might be the culprit?
If your patient has symptoms along the C6 spinal nerve root, which disc might be herniated?
C1/2
C2/3
C3/4
C5/6
C4/5
C6/7
C7/8
If your patient has symptoms along the C6 spinal nerve root, lateral foraminal stenosis of which level might be the culprit?
In the cervical spine, disc herniation and lateral forminal stenosis both affect the spinal nerve root named for the lower vertebra.
In the lumbar spine, disc herniation and lateral forminal stenosis both affect the spinal nerve root named for the lower vertebra.
In the lumbar spine, disc herniation affects the spinal nerve root named for the lower vertebra, but lateral foraminal stenosis affects the one above.
In the lumbar spine, disc herniation affects the spinal nerve root named for the upper vertebra, but lateral foraminal stenosis affects the one below.
“Bilateral Foraminal Stenosis Central Canal Stenosis( Bilateral Foraminal Stenosis, Central Canal Stenosis ) follows dermatomal/myotomal pattern (due to it being nerve root involvement), central canal stenosis bilateral foraminal stenosis( central canal stenosis, bilateral foraminal stenosis ) does not follow pattern.” - S.Castro
Central Canal Stenosis may result from which of the following?
Ligamentum Flavum buckling
Posterior Longitudinal Ligament buckling
Degenerative or herniated discs
Spondylolisthesis
Congenitally short/thick pedicles
ZGP joint osteophytes
Lateral Stenosis may result from which of the following?
Disc bulging or herniation
Differential diagnosis for spinal stenosis
Disc herniation
Vascular Claudication
Primary or secondary tumor
Peripheral neuropathy
OA of hips or knees
Spondylolysis
Ligamentous Instability
Scoliosis
Which of the following would be indicative of a positive test for neurogenic claudication?
Patient demonstrates greater tolerance for walking on treadmill in inclined position.
Patient demonstrates greater tolerance for walking on treadmill in flat position.
Neurogenic Claudication is defined as Bilateral pain/weakness/paresthesia/cramping in buttocks, thighs, and calves initiated by prolonged standing and walking and relieved by sitting or bending forward.
Neurogenic Claudication is defined as Bilateral pain/weakness/paresthesia/cramping in buttocks, thighs, and calves initiated by prolonged sitting or bending forward and relieved by standing and walking
