Which assessment finding is most suggestive of a spinal cord lesion rather than a peripheral nerve lesion?
Correct answer: C. Spasticity below the lesion
- A. Loss of one ankle reflex
- B. Fasciculations in one hand
- C. Spasticity below the lesion
- D. Flaccid weakness in one finger
Explanation
Spasticity is an upper motor neuron feature caused by a central nervous system lesion such as spinal cord damage. Reduced reflexes, fasciculations and focal flaccid weakness are more typical of lower motor neuron or peripheral nerve involvement.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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