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differential management spinalcord causes physicalexam spinal weakness algorithm arm barre caudaequina clinical comatose dermatomes dislocation equina extremity gbs gravis guillain
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
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
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
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
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal Cord Disorders ... - Differential Diagnosis ... Lower roots -> Cauda ... MCTD, Sjogren syndrome ... #diagnosis #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... bouts of HTN Diagnostic ... negative, MOG-IgG test ... brain and/or optic nerve ... #management #neurology
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Wrist drop - Occurs ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Non-neuromuscular disorder ... of the spinal cord ... • Inflammatory disorders ... #neurology
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... II ○ Susac’s syndrome ... Mitochondrial disorders ... Noise trauma ○ MS
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
an autoimmune disorder ... Bedside: ice pack test ... /Edrophonium test ... - Repetitive nerve ... #management #neurology
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