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differential causes management myotomes physicalexam spinal syndromes acute algorithm arm barre caudaequina clinical comatose dermatomes dislocation disorders equina extremity gbs
Myotomes of the Spinal Cord Each segmental nerve root innervates more than one muscle. For simplicity, certain
Each segmental nerve ... The cauda equina ... more resilient to injury ... #Myotomes #SpinalCord ... #Diagnosis #Neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... and #Acute #SpinalCord ... #Injury #Syndromes ... signs #symptoms #msk ... #orthopedics #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
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... involvement Cauda ... unilateral) #SpinalCord ... #differential #diagnosis ... #neurology
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
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... Lower roots -> Cauda ... MCTD, Sjogren syndrome ... #spinalcord #disorders ... #diagnosis #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
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
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 ... Noise trauma ○ MS ... #Differential #Diagnosis
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