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diagnosis differential management cord guillain msk syndromes acute algorithm cauda caudaequina clinical dermatomes dislocation disorders equina gbs guillainbarre hyperreflexia hyporeflexia
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Primarily Upper Extremity ... bladder and rectal reflex ... and #Acute #SpinalCord ... #Injury #Syndromes ... #orthopedics #neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... stroke, Acute spinal ... Guillain-Barré syndrome ... cord injury, Early ... diagnosis #table #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
- Emergency Causes ... cord • Guillain-Barre ... reflexes - reduced ... differential #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 ... Causes of spinal ... in deep tendon reflexes ... unilateral) #SpinalCord
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Causes: 1 ... MCTD, Sjogren syndrome ... reflexes: Areflexia ... #cord #spinalcord ... disorders #diagnosis #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... : • Knee - L2 ... • Cauda Equina Syndrome ... Commonly caused ... 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 ... Incidence: 1 to 2 cases ... depressed deep tendon reflexes ... paralysis of all extremity ... #management #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... extensors of the arms (pyramidal ... Spasticity - Reflexes ... Sjogren's • CSF: - Abnormal ... diagnosis #management #neurology
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Neurologic deficit ... can signal vascular ... Neurologic injuries ... Compartment syndrome
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