Spinal cord compression: Difference between revisions
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imported>Robert Badgett (Created page with "{{subpages}} '''Spinal cord compression''' is "acute and chronic conditions characterized by external mechanical compression of the spinal cord due to extramedullary neoplas...") |
imported>Robert Badgett |
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==Diagnosis== | ==Diagnosis== | ||
===Physical examination=== | ===Physical examination=== | ||
On [[physical examination]], the most sensitive findings are:<ref name="pmid20229121">{{cite journal| author=Chikuda H, Seichi A, Takeshita K, Shoda N, Ono T, Matsudaira K et al.| title=Correlation between pyramidal signs and the severity of cervical myelopathy. | journal=Eur Spine J | year= 2010 | volume= 19 | issue= 10 | pages= 1684-9 | pmid=20229121 | doi=10.1007/s00586-010-1364-3 | pmc=PMC2989225 | url= }} </ref> | On [[physical examination]], the most [[sensitivity and specificity|sensitive]] findings are:<ref name="pmid20229121">{{cite journal| author=Chikuda H, Seichi A, Takeshita K, Shoda N, Ono T, Matsudaira K et al.| title=Correlation between pyramidal signs and the severity of cervical myelopathy. | journal=Eur Spine J | year= 2010 | volume= 19 | issue= 10 | pages= 1684-9 | pmid=20229121 | doi=10.1007/s00586-010-1364-3 | pmc=PMC2989225 | url= }} </ref> | ||
* Hyperreflexia 94% | * Hyperreflexia 94% | ||
* Hoffmann reflex ("flexion of the ipsilateral thumb and/or | * [[Hoffmann reflex]] ("flexion of the ipsilateral thumb and/or index finger was considered as positive") 81% | ||
index finger was considered as positive") 81% | * [[Babinski sign]] 53% | ||
* Babinski sign 53% | |||
* Ankle clonus 35% | * Ankle clonus 35% | ||
==References== | ==References== | ||
<references/> | <references/> | ||
Latest revision as of 09:18, 18 August 2011
Spinal cord compression is "acute and chronic conditions characterized by external mechanical compression of the spinal cord due to extramedullary neoplasm; epidural abscess; spinal fractures; bony deformities of the vertebral bodies; and other conditions. Clinical manifestations vary with the anatomic site of the lesion and may include localized pain, weakness, sensory loss, incontinence, and impotence.."[1]
Diagnosis
Physical examination
On physical examination, the most sensitive findings are:[2]
- Hyperreflexia 94%
- Hoffmann reflex ("flexion of the ipsilateral thumb and/or index finger was considered as positive") 81%
- Babinski sign 53%
- Ankle clonus 35%
References
- ↑ Anonymous (2024), Spinal cord compression (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Chikuda H, Seichi A, Takeshita K, Shoda N, Ono T, Matsudaira K et al. (2010). "Correlation between pyramidal signs and the severity of cervical myelopathy.". Eur Spine J 19 (10): 1684-9. DOI:10.1007/s00586-010-1364-3. PMID 20229121. PMC PMC2989225. Research Blogging.