11 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... Sensory loss below ... #diagnosis #pathophysiology ... signs #symptoms #msk ... #orthopedics #neurology
Principal patterns of loss of sensation.
 (a) Thalamic lesion: sensory loss throughout opposite side (rare).
(c) Central cord ... Brown—Séquard syndrome ... MS: loss of proprioception ... #Diagnosis #Neurology ... Review in Clinical Neurology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
10-33% develop MS ... extensors of the arms ... swollen, while in MS ... Predictive of MS ... Multiple sclerosis (MS
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Spinal Cord Disorders ... - Differential Diagnosis ... MCTD, Sjogren syndrome ... , lower extremity ... #diagnosis #neurology
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Multiple Sclerosis (MS ... Partial myelitis • Sensory ... • Or brainstem syndromes ... impairment, Mood disorder ... (Spinal cord predominant
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
and/or genital sensory ... Differential Diagnosis ... : • Spinal cord ... weakness and sensory ... #causes #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Non-neuromuscular disorder ... Impairment: • Acute stroke ... of the spinal cord ... signs - Lack of sensory
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... #UpperLimb #Extremity ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
may mimic an LMN disorder ... the differential diagnosis ... LMN syndromes are ... hyporeflexia without sensory ... of the foot is stroked
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
tumors, strokes ... the hospital, diagnosed ... with MS, and started ... #PhysicalExam # ... ophthalmology #neurology