NEUROLOGIC NURSINGArt Sarrosa, RN, MAN, DNS (ip)

H. Spinal cord syndromes (Richard Snell, p.170)*

1. Complete cord transection syndrome

a. Bilateral lower motor neuron paralysisb. Bilateral spastic paralysis below the lesionc. Bilateral loss of sensation below the lesiond. Bowel and bladder dysfunctions

2. Anterior cord syndrome

a. Bilateral lower motor neuron paralysisb. Bilateral spastic paralysis below the lesionc. Bilateral loss of pain, temperature and light touchd. Discriminatory touch, proprioception, and

vibration preserved

3. Central cord syndromea. Bilateral lower motor neuron paralysisb. Bilateral spastic paralysis below the lesion

c. Sacral sparing

4. Brown-Sequard syndromea. Ipsilateral lower motor neuron paralysisb. Ipsilateral spastic paralysis below the lesionc. Ipsilateral loss of tactile discrimination, propriocention and vibrationd. Contralateral loss of pain and temperature sensationse. Contralateral but not complete loss of sensation below

IX. SPINAL NERVESA. Purposes

1. Myo-tomes2. Derma-tomes

B. Segments: 8-12-5-5-1C. Nerve plexusD. Brachial plexus

Root Movement produced

C5 Shoulder abduction, elbow flexion

C6 Wrist extensor

C7 Extension of elbow and flexion of wrist

C8 Finger flexion

T1 Abduction of fingers

L2 Hip flexion, hip adduction

L3 Knee extension

L4 Foot inversion

L5 Toe extension, ankle dorsiflexion

S1 Ankle plantar flexion

S2 Toe flexion

D. Brachial plexus1. Musculocutaneous

= C567

5. Ulnar = 81

4. Median = 56781

2. Axillary = 5678i

3. Radial = 5678i

Snell, p.83, 113

IX. NEURO-ENDOA. HypothalamusB. Pituitary gland

1. Anterior2. Posterior