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diagnosis neurology differential signs spinalcord caudaequina spinal syndromes acute algorithm causes complications disorders equina injury lesions management myelitis orthopedics pagetsdisease
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Lower roots -> Cauda ... compression by fractured ... - Radiation myelopathy ... - Radiation myelopathy ... MCTD, Sjogren syndrome
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... Lower motor neuron symptoms ... Vertebral burst fracture ... - Radiation myelopathy ... involvement Cauda
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... clumsiness in hands ... #diagnosis #pathophysiology ... #signs #symptoms ... #msk #orthopedics
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... spine L1-L5 Symptoms ... so-called ‘red flag’ symptoms ... • HIV related myelopathy ... lower extremity weakness
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... spine Signs / Symptoms ... Complications: • Weakness ... #MSK #pathophysiology ... #diagnosis #symptoms
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... (Myelopathy) without ... Weakness: - Weakness ... /or symptoms • ... and ADEM the cord
Paget’s Disease: Complications Abnormal Osteoclasts cause excessive bone turnover -> Incr bone resorption, Incr (abnormal) bone formation MSK
bone formation MSK ... -> Pathologic fractures ... or the spinal cord ... itself -> Myelopathy ... diagnosis #signs #symptoms
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