DPT 540 - CLINICAL SYNDROMES EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE
Brown-sequard/hemisection (structure and symptoms)
DCML -> Ipsilateral loss of discriminative touch, conscious proprioception, 2 point
discrimination, and vibratory sensation of body below level of lesion
STT -> contralateral loss of pain and temperature sensation for body below level of
lesion (1-2 levels below)
Anterior spinal artery syndrome (structure and symptoms)
STT -> bilateral loss of pain and temperature for body, below level of lesion (1-2
segments)
***DCML is spared (supplied by posterior spinal artery)
What is a syringomyelia
Cavitation lesion involving or adjacent to central canal
Syringomyelia (structure and symptoms)
Anterior white commissure -> bilateral segmental loss of pain or temperature (1-2
segments below)
***progressively gets worse as lesion grows
Lateral medullary syndrome - Wallenberg (structure and symptoms)
, Spinal nucleus of V -> ipsilateral loss of pain and temperature of face
STT -> contralateral loss of pain and temperature of body
CB peduncle (inferior) -> ispilateral cerebellar signs and symptoms
What are cerebellar signs and symptoms?
Dysdiadokinesia (difficulty with rapid alternating movement)
Dysmetria (difficulty with moving to target, over/undershoot)
Dysynergia (difficulty for muscles to act together)
Ataxia (drunken, unsteady gait)
Nystagmus (fast beat away from lesion)
Intentional tremor (tremor with movement)
Dysarthria (slurred speech)
Hypotonia
What artery is damaged in Wallenberg syndrome
PICA or vertebral
What artery is damaged in medial medullary syndrome?
Anterior spinal artery
Medial medullary syndrome (structure and symptoms)
Medial lemniscus -> contralateral loss of discriminative touch, conscious proprioception,
2 point discrimination, and vibratory sensation
Pyramid -> UMN signs and symptoms
Lower/caudal pons lesion (structure and symptoms)
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE
Brown-sequard/hemisection (structure and symptoms)
DCML -> Ipsilateral loss of discriminative touch, conscious proprioception, 2 point
discrimination, and vibratory sensation of body below level of lesion
STT -> contralateral loss of pain and temperature sensation for body below level of
lesion (1-2 levels below)
Anterior spinal artery syndrome (structure and symptoms)
STT -> bilateral loss of pain and temperature for body, below level of lesion (1-2
segments)
***DCML is spared (supplied by posterior spinal artery)
What is a syringomyelia
Cavitation lesion involving or adjacent to central canal
Syringomyelia (structure and symptoms)
Anterior white commissure -> bilateral segmental loss of pain or temperature (1-2
segments below)
***progressively gets worse as lesion grows
Lateral medullary syndrome - Wallenberg (structure and symptoms)
, Spinal nucleus of V -> ipsilateral loss of pain and temperature of face
STT -> contralateral loss of pain and temperature of body
CB peduncle (inferior) -> ispilateral cerebellar signs and symptoms
What are cerebellar signs and symptoms?
Dysdiadokinesia (difficulty with rapid alternating movement)
Dysmetria (difficulty with moving to target, over/undershoot)
Dysynergia (difficulty for muscles to act together)
Ataxia (drunken, unsteady gait)
Nystagmus (fast beat away from lesion)
Intentional tremor (tremor with movement)
Dysarthria (slurred speech)
Hypotonia
What artery is damaged in Wallenberg syndrome
PICA or vertebral
What artery is damaged in medial medullary syndrome?
Anterior spinal artery
Medial medullary syndrome (structure and symptoms)
Medial lemniscus -> contralateral loss of discriminative touch, conscious proprioception,
2 point discrimination, and vibratory sensation
Pyramid -> UMN signs and symptoms
Lower/caudal pons lesion (structure and symptoms)
