Spinal cord compression physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===General Appearance=== | ===General Appearance=== | ||
*Patients may appear in acute distress due to [[back pain]] | *Patients may appear in acute distress due to [[back pain]]. | ||
===Vital signs=== | ===Vital signs=== | ||
*[[Hypotension]] in case of neurogenic shock | *[[Hypotension]] in case of [[neurogenic shock]] | ||
*[[Hypothermia]] | *[[Hypothermia]] | ||
| Line 21: | Line 21: | ||
* [[Lhermitte's sign]] (intermittent shooting electrical sensation) | * [[Lhermitte's sign]] (intermittent shooting electrical sensation) | ||
* [[Hyperreflexia]] may be present. | * [[Hyperreflexia]] may be present. | ||
* [[Babinski sign]] | * Upward plantar reflex ([[Babinski sign]]) | ||
{| class="wikitable" | {| class="wikitable" | ||
! colspan="3" |ASIA Impairment Scale for Traumatic Spinal Cord Injury | ! colspan="3" |ASIA Impairment Scale for Traumatic Spinal Cord Injury | ||
Revision as of 18:00, 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 most significant physical examination findings in acute cases is point tenderness of back. Other physical examination findings include paralysis of limbs below the level of compression, decreased sensation below the level of compression, Lhermitte's sign (intermittent shooting electrical sensation), hyperreflexia, Babinski sign positive.[1]
Physical Examination
General Appearance
- Patients may appear in acute distress due to back pain.
Vital signs
- Hypotension 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.
- Upward plantar reflex (Babinski sign)
| 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 |
References
- ↑ Ropper, Alexander E.; Longo, Dan L.; Ropper, Allan H. (2017). "Acute Spinal Cord Compression". New England Journal of Medicine. 376 (14): 1358–1369. doi:10.1056/NEJMra1516539. ISSN 0028-4793.