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differential management causes spinalcord syndrome dizziness syndromes barre cord guillain sclerosis treatment vertigo acute als amyotrophic caudaequina dermatomes disorders encephalopathy
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
L1-L5 Symptoms ... so-called ‘red flag’ symptoms ... Differential Diagnosis ... lower extremity weakness ... #causes #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... Lower roots -> Cauda ... spinalcord #disorders #diagnosis ... #neurology #differential ... #algorithm
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm No Objective Weakness • Cardio-pulmonary disease
- Differential Diagnosis ... Algorithm No Objective ... Neuropathy • Spinal ... #Neurology #Differential ... #Diagnosis #Algorithm
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
- Differential Diagnosis ... Algorithm True ... symptoms/signs, ... Hemorrhage #Dizzy ... Dizziness #Vertigo #Neurology
TiTrATE schema to approach to Dizziness • Time Course: Continuous or Episodic • Triggers: Present or
yet imprecise symptom ... TiTrATE #Dizziness #dizzy ... #algorithm #differential ... #diagnosis #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Lower motor neuron symptoms ... involvement Cauda ... #differential #diagnosis ... #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Conditions: • Cauda ... - Narrowing of spinal ... claudication and weakness ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Dizziness and Vertigo Algorithm Presyncope: • Feels "faint" or like they are going to "pass out" •
Dizziness and Vertigo Algorithm ... "pass out" • Symptoms ... Dizziness #Vertigo #Algorithm ... #dizzy #differential ... #diagnosis #neurology
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Neuromuscular Weakness ... • Spinal Cord: ... Shellfish poisoning, Meds ... #differential #diagnosis ... #neurology
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal ... sign, variable weakness ... LMN types) • Cauda ... spinalcord #syndromes #diagnosis ... #neurology
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