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neurology differential physicalexam syndromes cord dermatomes injury motor myotomes sensory spinal acute algorithm arm cauda caudaequina causes clinical comatose disorders
Incomplete Spinal Cord Syndromes Anterior Cord Syndrome: • Bilateral loss of motor, pain and temperature sensation below
: • Bilateral ... Penetrating trauma or lateral ... #Incomplete #SpinalCord ... #Syndromes #Diagnosis ... #Neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
hyperextension -> Upper extremity ... Primarily Upper Extremity ... and #Acute #SpinalCord ... #diagnosis #pathophysiology ... #orthopedics #neurology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... • Cauda Equina Syndrome ... dorsum of foot and lateral ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
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
C6 Dorsal Thumb Wrist ... Hamstring Reflex S1 Lateral ... Sphincter None #SpinalCord ... #differential #diagnosis ... #Neurology #Spine
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Upper Extremity ... Pronation - C7, C8 Wrist ... Wrist drop - Occurs ... Dermatomes #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 ... unilateral lower extremity ... or absent lower extremity ... #differential #diagnosis ... #causes #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... MCTD, Sjogren syndrome ... , lower extremity ... #spinal #cord #spinalcord ... #disorders #diagnosis
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
involved - Bilateral ... (more commonly bilateral ... unilateral) #SpinalCord ... #differential #diagnosis ... #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... dysfunction to the bilateral ... #comatose #diagnosis
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
One and a Half Syndrome ... the hospital, diagnosed ... Three weeks later ... clinical #video #ophthalmology ... #neurology
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