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differential management spinalcord barre caudaequina cord guillain signs spinal syndromes acute algorithm comatose disorders equina gbs guillainbarre injury lesions myelitis
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... spine L1-L5 Symptoms ... - Emergency Causes ... • Provocative Tests ... #causes #neurology
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... Causes: • Large ... of normal leg reflexes ... #MSK #pathophysiology ... #diagnosis #symptoms
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
bladder and rectal reflex ... #diagnosis #pathophysiology ... #signs #symptoms ... #msk #orthopedics ... #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Mutism Pathophysiology ... Casey Albin MD @ ... #PhysicalExam #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... in deep tendon reflexes ... involvement Cauda ... #differential #diagnosis ... #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Pathophysiology ... • Weakness: Starts ... Decreased / Absent Reflexes ... nerve roots and cauda ... #treatment #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
depressed deep tendon reflexes ... than one after symptom ... and sensitive tests ... nerve roots and cauda ... #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Lower roots -> Cauda ... Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #neurology #differential
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... Spasticity - Reflexes ... Bilateral signs and/or symptoms ... negative, MOG-IgG test ... #management #neurology
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