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  • Facts Presentation DX MX Anything Else SCDC

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    Luke McElroy
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    This document summarizes several neurological conditions: 1) B12 deficiency causes low myelin and symptoms including numbness, which are addressed with B12 replacement and treatment of underlying causes like anemia. 2) Brown-Sequard syndrome results from spinal cord trauma or lesions and presents with ipsilateral weakness and loss of proprioception with contralateral loss of pain and temperature sensation. 3) Anterior spinal artery occlusion can cause weakness, sensory loss, and pain over the legs due to atherosclerosis. MRI and addressing the underlying cause are important. 4) Cauda equina syndrome involves low back pain and sphincter issues from disk herniation, addressed through surgical decompression.

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    spinal cord eh

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    Facts

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    This document summarizes several neurological conditions: 1) B12 deficiency causes low myelin and symptoms including numbness, which are addressed with B12 replacement and treatment of underlying causes like anemia. 2) Brown-Sequard syndrome results from spinal cord trauma or lesions and presents with ipsilateral weakness and loss of proprioception with contralateral loss of pain and temperature sensation. 3) Anterior spinal artery occlusion can cause weakness, sensory loss, and pain over the legs due to atherosclerosis. MRI and addressing the underlying cause are important. 4) Cauda equina syndrome involves low back pain and sphincter issues from disk herniation, addressed through surgical decompression.

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    Download as DOCX, PDF, TXT or read online from Scribd
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    9 views2 pages

    Facts Presentation DX MX Anything Else SCDC

    Uploaded by

    Luke McElroy
    This document summarizes several neurological conditions: 1) B12 deficiency causes low myelin and symptoms including numbness, which are addressed with B12 replacement and treatment of underlying causes like anemia. 2) Brown-Sequard syndrome results from spinal cord trauma or lesions and presents with ipsilateral weakness and loss of proprioception with contralateral loss of pain and temperature sensation. 3) Anterior spinal artery occlusion can cause weakness, sensory loss, and pain over the legs due to atherosclerosis. MRI and addressing the underlying cause are important. 4) Cauda equina syndrome involves low back pain and sphincter issues from disk herniation, addressed through surgical decompression.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    FACTS

    PRESENTATION

    DX

    MX

    SCDC

    B12 deficiency
    Low myelin

    B12 levels
    Increased MMA
    and
    homocysteine

    B12 replacement
    Underlying
    causes e.g.
    anaemia etc

    BROWN
    SEQUARD

    Trauma, tumour,
    ischaemia,
    infarction, MS

    Distal
    paraesthesia
    Progressive
    Loss of DCML
    and CS
    ST preserved!
    Contra loss of
    pain/temp
    Ipsi
    weakness/fine
    touch
    proprioception
    Loss of ST/CS
    DCML preserved
    so sparing of fine
    touch
    proprioception.
    Radicular pain

    MRI

    Underlying cause Pure hemisection


    is rare!

    Clinical
    MRI
    Young? Work up
    for vasculitis

    Uh oh

    LB pain
    Sphincter tone
    Weakness/sensor
    y loss
    Temp and pain
    sensation
    affected over
    cape like
    distribution

    MRI

    Underlying
    cause, and
    quickly!

    L234 pants on
    the floor
    L34 patellar

    Cervical MRI

    Surgical
    decompression

    DDx SCDC

    ANTERIOR
    Branches from
    SPINAL ARTERY thoracic aorta
    Atherosclerosis
    Supplies ant 2/3rd
    spinal cord
    CAUDA EQUINA

    Disk herniation

    SYRINGOMYELI
    A

    Cyst in central
    canal at C (upper
    T)
    Arnold Chiari
    malformation
    predisposes

    ANYTHING
    ELSE
    DDx tabes
    dorsalis

    TABES
    DORSALIS

    Neurosyphilis
    10 years post
    infection

    Loss of dorsal
    columns e.g.
    vibration, fine
    touch,
    proprioception
    Argyll Robertson

    dunno

    IV penicillin

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