Myelopathy

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Introduction

 

 

 

 

The Case of...

a simple case introducing clincial presentation and calling for a differential diagnosis. To get students thinking.

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Pathophysiology

The thoracic spine is smaller, so is more susceptible to compression

 

Problems with the spine will likely affect all body systems

 

 

  UMN LMN
Babinski yes no
atrophy no yes
fasciculations no yes
reflexes hyper absent
tone spasticity flaccidity

 

 

 

 

 

 

 

Mechanisms of COrd Damage

Is it outside or inside the dura?

 

 

Brown-Sequard Syndrome

hemicord lesion

 

Central Lesions

 

 

Foramen Magnum Syndrome

 

Conus Medullaris Syndrome

 

Cauda Equina Syndrome

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Signs and Symptoms

  • history
  • physical exam

History

 

Physical Exam

 

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Investigations

  • lab investigations
  • diagnostic imaging

Lab Investigations

Diagnostic Imaging

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Treatments

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Consequences and Course

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Resources and References

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Topic Development

authors:

reviewers:

 

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