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Spinal Compromise
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What are the patterns of parasthesia for compromise of the following structures:
- The spinal nerve
- The spinal cord
- The spinothalamic tract
- The cauda equina
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List five other signs of spinal cord compromise
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List three causes of spinal cord compromise
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List three causes of spinothalamic tract compromise
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Patterns of parasthesia for compromise of the following structures:
- The spinal nerve: Segmental
- The spinal cord: Bi- or quadralateral, rarely uni- or hemilateral and non-segmental
- The spinothalamic tract: Hemilateral and non-segmental
- The cauda equina: Bilateral and multisegmental
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List five other signs of spinal cord compromise:
- Hyperreflexia
- Clonus
- Babinski response to the extensor-plantar test
- Positive Oppenheimer test
- Positive Hoffman test
- Non-segmental ana/hypoesthsia
- Non-segmental paresis or paralysis
- Spasticity
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List three causes of spinal cord compromise:
- Disc herniation
- Neoplastic disease
- Central spinal stenosis
- Vertebral fracture or dislocation
- Vertebral instability
- Neurological disease
- Vertebral, anterior or posterior spinal artery disease
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List three causes of spinothalamic tract compromise:
- Brainstem contusion
- Brainstem neoplasm
- Vertebrobasilar disease/trauma
- Anterior spinal artery syndrome (anterior spinal artery emobolus)
Disclaimer:
The assessment and treatment techniques depicted or described in this site are not intended to replace formal instruction in orthopedic manual or any other type of physical therapy. They are intended to review, augment and facilitate the knowledge and skills previously gained on manual therapy or other course and to stimulate the untrained or trainee physical therapist to increase the bounds of his or her knowledge and skill base.
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