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differential causes guillain spinalcord algorithm dermatomes leg management motor msk myotomes acute arm cauda caudaequina comatose cord criteria disorders equina
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
hyperextension -> Upper extremity ... Sensory loss below ... Primarily Upper Extremity ... #Syndromes #diagnosis ... #orthopedics #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
NINDS Diagnostic Criteria for Guillain Barre Syndrome Features Required for Guillain-Barré Syndrome: • Progressive muscle weakness
involvement, Mild sensory ... signs, Cranial nerve ... in CSF • Sharp sensory ... #Syndrome #diagnosis ... #criteria #neurology
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Tumor • Motor Nerves ... Poliomyelitis, Guillain-Barre ... injury, Sarcoid ... #differential #diagnosis ... #neurology
Causes of Hemiplegia - Differential Diagnosis Algorithm Cerebral Hemisphere (Contralateral motor cortex) • Aphasia • Apraxia •
- Differential Diagnosis ... Consciousness • Cranial Nerve ... contralateral extremity ... Brown-Sequard Syndrome ... #Hemiplegia #Neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... damage to peroneal nerve ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
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 ... Diagnosis: • ... #Syndrome #diagnosis ... management #treatment #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
compression of nerve ... and/or genital sensory ... cord • Guillain-Barre ... weakness and sensory ... #causes #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
by Nerve Root Levels ... Spinal Root Sensory ... Flexion None T1 Ulnar ... #differential #diagnosis ... #Neurology #Spine
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Repetitive strain injury ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
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