15 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Syndrome ->Cord ... rectal reflex. saddle ... anesthesia. leg ... #Syndromes #diagnosis ... #orthopedics #neurology
Incomplete Spinal Cord Syndromes
Anterior Cord Syndrome:
 • Bilateral loss of motor, pain and temperature sensation below
Incomplete Spinal Cord ... Cord Syndrome: ... Bilateral loss of motor ... below level of injury ... #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 ... multiradicular pain - Leg ... #differential #diagnosis ... #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... pain, sciatica, saddle ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
syndromes (ISCS ... Disproportionate motor ... rectal dysfunction, saddle ... multiradicular pain, leg ... #diagnosis #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Weakness • Spinal Cord ... Trauma, Tumor • Motor ... Phrenic nerve injury ... #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 ... Spinal Root Sensory Motor ... Reflex C7 Dorsal Middle ... #differential #diagnosis ... #Neurology #Spine
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
indicative of injury ... level of the upper motor ... cervical spinal cord ... Hoffmanns #Sign #PhysicalExam ... #Neurology #Reflex
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
and Myotomes Motor ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
The Neurological Evaluation ... Differential Diagnosis ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis