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differential spinalcord pathophysiology signs symptoms syndromes acute arm caudaequina causes cord equina extremity lesions lfcn management meralgiaparesthetica motor myelitis myotomes
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
Elbow Flexion Biceps ... None T7-T12 See Dermatomes ... L2 Anterior Medial ... #differential #diagnosis ... #Neurology #Spine
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Cord Syndrome -> Anterior ... bladder and rectal reflex ... #Syndromes #diagnosis ... signs #symptoms #msk ... #orthopedics #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
, T1 (median) Reflexes ... spared in this injury ... Anterior Shoulder ... #Myotomes #diagnosis ... #neurology #sensory
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Differential Diagnosis ... region (S2-S4 dermatomes ... • Provocative Tests ... absent anal wink test ... #causes #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... in deep tendon reflexes ... involvement Cauda ... #differential #diagnosis ... #neurology
Meralgia paresthetica: Pathogenesis and Clinical Findings Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica •
Findings Compression/injury ... rarely follow dermatomal ... gait, strength, reflexes ... Straight Leg Raise Test ... ligament (near anterior
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... Spasticity - Reflexes ... bouts of HTN Diagnostic ... negative, MOG-IgG test ... #management #neurology
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