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neurology differential management spinalcord barre guillain msk orthopedics syndromes treatment algorithm caudaequina dermatomes disorders emergencies equina examination gbs guillainbarre infant
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Acute Spinal Cord ... spinal artery injury ... Syndrome ->Cord ... spinal artery injury ... #Syndromes #diagnosis
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 ... • MCC- acute ... : • Spinal cord ... infarct • HIV ... extremity reflexes
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... cord injury. ... Causes of spinal ... Weakness - Lower ... cord injury -
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Diagnosis Framework ... deficiency etc) • Spinal ... Immobilization) • Acute ... #lower #extremity ... #msk #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... and Myotomes Reflexes ... Conditions: • Cauda ... Equina Syndrome ... Commonly caused
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal Cord Disorders ... • Symptoms and signs ... roots -> Cauda ... Cord Causes: 1 ... , lower extremity
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
- Ensure leg ... • Syndrome caused ... tibia/fibula) and hip ... days after an acute ... cord injury, characterised
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... to the spinal cord ... flexors of the legs ... Spasticity - Reflexes ... • Bilateral signs
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
- Summary Acute ... paralysis of all extremity ... Decreased / Absent Reflexes ... of intrathecal spinal ... nerve roots and cauda
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
(GBS) Acute autoimmune ... depressed deep tendon reflexes ... paralysis of all extremity ... and sensitive tests ... nerve roots and cauda
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