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differential management signs spinalcord caudaequina manifestations pathophysiology spinal syndromes acute algorithm cauda clinical comatose dermatomes disorders encephalopathy equina extremity half
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... Causes: • Large ... • Pain/sensory disturbance ... #MSK #pathophysiology ... #diagnosis #symptoms
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... Sensory loss below ... #signs #symptoms ... #msk #orthopedics ... #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... - Leg weakness ... #differential #diagnosis ... #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
Scotoma, Ocular pain ... involvement: Intractable nausea ... myelitis: Motor and sensory ... Manifestations #diagnosis ... #neurology #symptoms
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... - Low back pain ... Commonly caused ... #neurology #sensory ... #motor #leg #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... continence • Pain ... Causes: 1. ... MCTD, Sjogren syndrome ... #neurology #differential
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Limb weakness, sensory ... Reconstitution Inflammatory Syndrome ... or hemorrhagic stroke ... • Caused by immune ... #Tuberculosis #diagnosis
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... or without back pain ... Bilateral signs and/or symptoms ... • Infectious causes ... #management #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine L1-L5 Symptoms ... and/or genital sensory ... - Emergency Causes ... : • Spinal cord ... #causes #neurology
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Partial myelitis • Sensory ... • Or brainstem syndromes ... Sensitivity to pain ... (Spinal cord predominant ... #management #neurology
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