56 results
Incomplete Spinal Cord Syndromes
Anterior Cord Syndrome:
 • Bilateral loss of motor, pain and temperature sensation below
: • Bilateral ... loss of motor, pain ... • Sensory and motor ... Ipsilateral loss of motor ... #Diagnosis #Neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... dysfunction to the bilateral ... caseyalbin #PhysicalExam ... #neurology #comatose
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... → Bulbar motor ... clinical #video #neurology ... #physicalexam
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... dysfunction, and bilateral ... Myotomes #diagnosis #neurology ... #sensory #motor ... #leg #physicalexam
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... sepsis, meds, contrast ... usually requires bilateral ... Classification #diagnosis #nephrology
One-and-a-Half Syndrome
1 - One eye cannot move AT ALL horizontally
1/2 - The other eye can only
One-and-a-Half Syndrome ... possible horizontal movements ... Unilateral BRAINSTEM ... OneAndAHalf #One #Half #Syndrome ... #diagnosis #neurology
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
flexion, or even no movement ... with an upper motor ... Reflex #Plantar #PhysicalExam ... #Diagnosis #Neurology
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
Myoclonus Ataxia Syndrome ... myoclonus ataxia syndrome ... multidirectional fast eye movements ... #PhysicalExam # ... clinical #video #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dissociaton; • Usually unilateral ... Holmes-Adie Syndrome ... abnormal extraocular movements ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... Look at the eye movement ... #LockedIn #Syndrome ... #PhysicalExam # ... clinical #video #neurology