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Chapter 23: Problem 121

A client with a cervical spinal cord injury is experiencing a loss of motor function below the level of injury with sensation, touch, position, and vibration intact. The nurse recognizes that the client has damage in which area of the following areas? A. Anterior cord injury B. Posterior cord injury C. Central cord injury D. Brown-Sequard's paralysis

Short Answer

Expert verified
Answer: Anterior cord injury

Step by step solution

01

Option A: Anterior cord injury

An anterior cord injury involves damage to the anterior portion of the spinal cord. This type of injury results in the loss of motor function and impaired sensations of pain and temperature. However, sometimes sensations like touch, position, and vibration can still be intact. This option matches the description of the client's symptoms.
02

Option B: Posterior cord injury

A posterior cord injury involves damage to the dorsal (posterior) columns of the spinal cord. This type of injury affects the sensations of touch, pressure, vibration, and position sense, leaving motor function unaffected. This situation does not match the client's symptoms.
03

Option C: Central cord injury

A central cord injury involves damage to the center of the spinal cord, affecting motor functions and sensations in varying degrees, depending on the extent of damage. This injury is usually more severe in the upper extremities than the lower extremities. Though motor function is lost, the intact sensation, touch, position, and vibration sensations do not align with this injury type.
04

Option D: Brown-Sequard's paralysis

Brown-Sequard's paralysis is an incomplete spinal cord lesion that occurs when one lateral half of the cord is injured. This results in ipsilateral (same side) loss of motor function, touch, and pressure sense, and contralateral (opposite side) loss of pain and temperature sensations below the level of the injury. This does not match the client's symptoms. Based on the analysis, the client's symptoms correspond to:
05

Conclusion

Option A: Anterior cord injury

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