Spinal cord compression physical examination: Difference between revisions
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Aditya Ganti (talk | contribs) Undo revision 1307528 by Aditya Ganti (talk) |
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* [[Hyperreflexia]] may be present. | * [[Hyperreflexia]] may be present. | ||
* [[Babinski sign]] positive | * [[Babinski sign]] positive | ||
{| class="wikitable" | |||
! colspan="3" |ASIA Impairment Scale for Traumatic Spinal Cord Injury | |||
|- | |||
| rowspan="2" |Grade | |||
| colspan="2" |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 | |||
|} | |||
== References == | == References == | ||
Revision as of 01:03, 18 April 2017
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Spinal Cord Compression Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Spinal cord compression physical examination On the Web |
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American Roentgen Ray Society Images of Spinal cord compression physical examination |
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Risk calculators and risk factors for Spinal cord compression physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Following a history of acute spinal trauma, the patient should be immobilized with a cervical collar and backboard/head strap. The neurologic exam is started using the American Spinal Injury Association (ASIA) sensory and motor impairment scoring system.
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 |