19 results
Causes of Hemiplegia - Differential Diagnosis Algorithm
Cerebral Hemisphere (Contralateral motor cortex)
 • Aphasia
 • Apraxia
 •
(Contralateral motor ... • Aphasia • Apraxia ... Cognition/Confusion, Dementia ... Brown-Sequard Syndrome ... #Hemiplegia #Neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Weakness • Spinal ... Trauma, Tumor • Motor ... : Acid maltase deficiency ... #diagnosis #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
syphilis, and HIV ... Vitamin B12, Copper deficiency ... - Lower motor ... 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
Campylobacter jejuni - HIV ... Can begin in arms ... Absent Reflexes: Arms ... nerve roots and cauda ... management #treatment #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Conditions: • Cauda ... Equina Syndrome ... Commonly caused ... Myotomes #diagnosis #neurology ... #sensory #motor
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
dementia Pathophysiology ... The clinical syndrome ... Behavioral • Motor ... dysfunction like gait ... #AIDS #Neurology
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 ... - Emergency Causes ... cord infarct • HIV ... lower extremity weakness ... #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
and Myotomes Motor ... anesthesia and deltoid weakness ... Myotomes #diagnosis #neurology ... #sensory #motor ... #arm #physicalexam
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Upper Motor Neuron ... endocrine: Vitamin B12 deficiency ... parainfluenza, Coxsackie, HIV ... aminotransferases • Serology ... Differential #Diagnosis #neurology
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Nutritional: DiabetesB12 deficiency ... • Infectious: HIV ... Paraprotein-associated (POEMS syndrome ... differential #diagnosis #causes ... #neurology