11 results
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
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Cord Injury ... Root Sensory Motor ... Femoral Condyle Knee ... Sphincter None #SpinalCord ... differential #diagnosis #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 ... lesion - Upper motor ... unilateral) #SpinalCord
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... : • Knee - L2 ... • Cauda Equina Syndrome ... Commonly caused ... #sensory #motor
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
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... and Myotomes Motor ... , T1 (median) Reflexes ... spared in this injury ... Myotomes #diagnosis #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Awareness • Injury ... Casey Albin MD @ ... #PhysicalExam #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 ... : • Sensory, motor ... Sjogren's • CSF: - Abnormal
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... 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 ... diagnosis #management #neurology