10 results
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Lesions of the Spinal ... result in permanent neurologic ... syphilis, and HIV ... #differential #diagnosis ... #neurology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... Infections: - ... Viral: VZV, HSV, ... spinalcord #disorders #diagnosis ... #neurology #differential
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
ring-enhanced lesion ... (IRIS): • In HIV ... vasculitis and infarction ... ring-enhancement lesion ... #Tuberculosis #diagnosis
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
compressive cord lesion ... less swollen - Lesion ... or optic nerve lesions ... simplex virus, HIV ... #management #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... of the spinal cord ... parainfluenza, Coxsackie, HIV ... #Differential #Diagnosis ... #neurology
HIV-Associated Neurocognitive Disorder (HAND)

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

Pathophysiology:
HIV frequently
early stages of infection ... well-defined than PML lesions ... Diagnosis: MRI ... areas of high signal ... dementia #AIDS #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... by 24 hours or longer ... showing cortical lesions ... : • Infection, ... #management #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
response preceding infection ... Campylobacter jejuni - HIV ... Guillain-Barre Diagnosis ... of intrathecal spinal ... management #treatment #neurology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... to exclude are infections ... affects the skin, neurologic ... HTN • Check: HBV ... cognitive impairment, neurologic
Rickettsialpox Eschar

40 homeless male from NY admitted with fever, chills, headache, myalgias. Diagnosis?
Rickettsialpox R akari classic
Diagnosis? ... Can have 20-40 lesions ... rickettsia) Dx: serology ... Indiana University Infectious ... clinical #photo #skinrash