10 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Sensory loss below ... Primarily Upper Extremity ... reflex. saddle anesthesia ... #Syndromes #diagnosis ... #orthopedics #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Lower Extremity ... saddle (perineal) anesthesia ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
spared in this injury ... regimental badge" anesthesia ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Weakness - Lower motor ... lesion - Upper motor ... at the level of sensory ... #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 ... Levels Spinal Root Sensory ... Motor Reflex C4 ... #differential #diagnosis ... #Neurology #Spine
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... below the site of injury ... below the site of injury ... Blood Supply: - AVM ... , lower extremity
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
and/or genital sensory ... • S - Saddle anesthesia ... Differential Diagnosis ... : • Spinal cord ... weakness and sensory
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... extensors of the arms ... bouts of HTN Diagnostic ... , motor, or autonomic ... #management #neurology
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
scotoma • Motor ... , but symptoms are ... GCS ≤ 13) • Sensory ... Pins & needles, Paresthesia ... #criteria #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Awareness • Injury ... /Sensory: • Tone ... caseyalbin #PhysicalExam ... #diagnosis