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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com


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lunes, 16 de noviembre de 2015

Síndromes medulares

Posted by Shahbaz S on November 16, 2015
“Spinal cord syndromes? I love those, and never forget them!” – Said nobody, ever. Despite the fact that spinal cord syndromes can be difficult to remember, they are important to recognize and can yield a significant amount of clinical information. We seek to break SC syndromes into an easy to digest and understand discussion.
The basis of this discussion is highlighted by the importance of remembering the anatomy, and once you recall this simple diagram, the syndromes become significantly easier to recall:
The spinothalamic tract is intentionally drawn on the opposite side of the cord, to represent that those nerve fibres crossover in the cord, providing contralateral pain and temperature sensation.
On the opposite side of the cord, the dorsal column carries ipsilateral proprioception/vibration, while the corticospinal tract contains ipsilateral motor function.
  • Anterior Cord Syndrome
  • Central Cord Syndrome:
  • Brown-Sequard Syndrome
  • Spinal shock vs Neurogenic shock