Spinal cord compression physical examination: Difference between revisions
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{{CMG}} ; {{AE}} {{ADG}} | {{CMG}} ; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
The physical examination findings in acute phase can be significant for point tenderness. Other physical examination findings that are significant include | |||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 02:04, 18 April 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
The physical examination findings in acute phase can be significant for point tenderness. Other physical examination findings that are significant include
Physical Examination
General Appearance
- Patients may appear in acute distress due to back pain
Vital signs
- Low BP in case of neurogenic shock
- Hypothermia
Back
- Point tenderness at the site of compression
- Decreased range of motion
Neurologic
- Paralysis of limbs below the level of compression
- Decreased sensation below the level of compression
- Lhermitte's sign (intermittent shooting electrical sensation)
- Hyperreflexia may be present.
- Babinski sign positive
| ASIA Impairment Scale for Traumatic Spinal Cord Injury | ||
|---|---|---|
| Grade | Impairment | |
| Sensory function | Motor function | |
| A | Complete loss | Complete loss |
| B | Partial loss | Complete loss |
| C | Partial loss | Partial loss |
| D | Normal | Partial loss |
| E | Normal | Normal |