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differential spinalcord caudaequina dermatomes extremity management motor myotomes pathophysiology signs spinal symptoms syndrome acute algorithm arm bilaterality brownsequard cauda causes
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... Sensory loss below ... clumsiness in hands ... rectal reflex. ... signs #symptoms #msk
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... reflexes) • Urinary ... Anesthesia • Sensory ... #MSK #pathophysiology ... #diagnosis #symptoms
Principal patterns of loss of sensation. (a) Thalamic lesion: sensory loss throughout opposite side (rare).
(c) Central cord ... Brown—Séquard syndrome ... MS: loss of proprioception ... #Diagnosis #Neurology ... Review in Clinical Neurology
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal cord ... syndromes (ISCS ... of LMN and sensory ... multiradicular pain, leg ... #diagnosis #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... multiradicular pain - Leg ... #differential #diagnosis ... #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Myotomes Reflexes ... • Cauda Equina Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
/or genital sensory ... Differential Diagnosis ... : • Spinal cord ... sensory disturbances ... #causes #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
flexors of the legs ... Spasticity - Reflexes ... bouts of HTN Diagnostic ... and ADEM the cord ... #management #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... spinalcord #disorders #diagnosis ... #neurology #differential
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... brainstem Motor/Sensory ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
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