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differential management spinalcord barre causes guillain myotomes physicalexam spinal algorithm anatomy caudaequina clinical comatose compartment dermatomes dislocation disorders equina extremity
Myotomes of the Spinal Cord Each segmental nerve root innervates more than one muscle. For simplicity, certain
Each segmental nerve ... muscle groups are ... more resilient to injury ... Myotomes #SpinalCord #Diagnosis ... #Neurology #Localization
Radial Nerve Anatomy and Function The Radial nerve is the nerve of elbow, wrist and digital extension.
the back of the arm ... the posterior cord ... injury ... #Anatomy #diagnosis ... #neurology #orthopedics
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... compression of nerve ... : • Spinal cord ... infarct • HIV ... #causes #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... result in permanent neurologic ... involvement Cauda ... #differential #diagnosis ... #neurology
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Weakness • Spinal Cord ... Demyelinating Disease (MS ... injury, Sarcoid ... #differential #diagnosis ... #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
Spinal Cord Injury ... by Nerve Root Levels ... C6 Dorsal Thumb Wrist ... Anterior Medial Thigh Hip ... #Neurology #Spine
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... Lower roots -> Cauda ... MCTD, Sjogren syndrome ... #neurology #differential
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Can begin in arms ... Absent Reflexes: Arms ... Guillain-Barre Diagnosis ... roots and cauda ... #treatment #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... extensors of the arms ... negative, MOG-IgG test ... brain and/or optic nerve ... #management #neurology
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