Acute spinal cord compression: Difference between revisions
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==Clinical Manifestations== |
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== Comparison with Cauda Equina Syndrome == |
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*Upper motor neuron lesion |
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*Must be differentiated from [[cauda equina syndrome]], which is lower motor neuron |
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!Cord Compression |
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!Cauda equina |
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|'''Pain''' |
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|Back pain, radicular pain wrapping around |
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|Back pain |
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|'''Motor''' |
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|Pyramidal distribution weakness (flexors in LE, extensors in UE) |
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|Flaccid paralysis, '''decreased anal tone''' |
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|'''Reflexes''' |
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|'''Hyperreflexia''', '''upgoing''' plantar reflex |
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|'''Decreased or absent''' reflexes, '''downgoing''' plantar reflex |
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|'''Sensation''' |
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|Loss of sensation below lesion |
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|'''Saddle anaesthesia''' |
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|'''GI/GU''' |
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|Urinary retention, bowel incontinence |
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|Urinary retention, bowel incontinence |
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|'''Gait''' |
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|Ataxic |
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|Ataxic |
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Latest revision as of 15:38, 29 July 2020
Clinical Manifestations
- Upper motor neuron lesion
- Must be differentiated from cauda equina syndrome, which is lower motor neuron
| Cord Compression | Cauda equina | |
|---|---|---|
| Pain | Back pain, radicular pain wrapping around | Back pain |
| Motor | Pyramidal distribution weakness (flexors in LE, extensors in UE) | Flaccid paralysis, decreased anal tone |
| Reflexes | Hyperreflexia, upgoing plantar reflex | Decreased or absent reflexes, downgoing plantar reflex |
| Sensation | Loss of sensation below lesion | Saddle anaesthesia |
| GI/GU | Urinary retention, bowel incontinence | Urinary retention, bowel incontinence |
| Gait | Ataxic | Ataxic |
