9 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
bladder and rectal reflex ... and #Acute #SpinalCord ... #Injury #Syndromes ... 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 ... Sphincter None #SpinalCord ... differential #diagnosis #Neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... Wrist drop - Occurs ... spared in this injury ... Myotomes #diagnosis #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... Awareness • Injury ... threat Cranial Nerves ... Casey Albin MD @ ... #PhysicalExam #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... unilateral) #SpinalCord ... differential #diagnosis #neurology
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm
Cardiac:
 • Congenital Heart Disease
 •
Metabolism • Reye's Syndrome ... Disturbances Neurologic ... Gastroesophageal Reflux ... Choking Spell Injury ... #Peds #Pediatrics
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
Orthopedic Emergencies ... irreversible muscle and nerve ... • Syndrome caused ... after an acute injury ... of spinal cord injury
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Non-compressive Spinal Cord Causes ... MCTD, Sjogren syndrome ... dysfunction • Abnormal reflexes ... #spinal #cord #spinalcord ... disorders #diagnosis #neurology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Neurologic deficit ... Neurologic injuries ... Common peroneal nerve ... trauma/vascular/orthopedic