15 results
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
pathway and the spinal ... Hoffmanns #Sign #Reflex ... #Positive #Abnormal ... clinical #video #neurology ... #PhysicalExam
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 ... lower extremity reflexes ... bulbocavernosus reflex ... wink test - reflex ... diagnosis #causes #neurology
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
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... such as fibular fracture ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... flexed at the elbow ... caseyalbin #PhysicalExam ... #neurology #comatose
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
lesion at the C5-C6 spinal ... normally elicits elbow ... An abnormal response ... #neurology #clinical ... #video #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
injury • Gait is abnormal ... compression by fractured ... MCTD, Sjogren syndrome ... reflexes: Areflexia ... disorders #diagnosis #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... , T1 (median) Reflexes ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
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 ... axonal • MRI - Spinal ... the intrathecal spinal ... diagnosis #management #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Decreased / Absent Reflexes ... CSF PROTEIN - NORMAL ... of intrathecal spinal ... management #treatment #neurology