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diagnosis differential spinalcord barre causes cord dermatomes guillain management motor myotomes physicalexam sensory syndromes acute arm cauda caudaequina disorders equina
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
distinguishing feature ... reflexes - reduced ... bulbocavernosus reflex ... wink test - reflex ... diagnosis #causes #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... and Myotomes Reflexes ... • Cauda Equina Syndrome ... such as fibular fracture ... Myotomes #diagnosis #neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... hyperextension -> Upper extremity ... Primarily Upper Extremity ... bladder and rectal reflex ... #orthopedics #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
compression by fractured ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology ... differential #algorithm
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... Vertebral burst fracture
Causes of Hemiplegia - Differential Diagnosis Algorithm Cerebral Hemisphere (Contralateral motor cortex) • Aphasia • Apraxia •
Differential Diagnosis Algorithm ... contralateral extremity ... findings Unilateral Spinal ... Brown-Sequard Syndrome ... #Hemiplegia #Neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... - C6, C7, C8 Elbow ... , T1 (median) Reflexes ... #UpperLimb #Extremity ... Myotomes #diagnosis #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... paralysis of all extremity ... Decreased / Absent Reflexes ... of intrathecal spinal ... management #treatment #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... depressed deep tendon reflexes ... paralysis of all extremity ... axonal • MRI - Spinal ... diagnosis #management #neurology
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