Changes

=Spinal Cord=

=Spinal Cord=

==Spinal Cord Compression==

==Spinal Cord Compression==

*H&P:

*H&P:

*Dx: Sensory level, pain, weakness, numbness, or hyperreflexia below the level of compression, bowel/bladder incontinence and saddle anesthesia with caudal equina. Differential includes tumor, disc herniation, osteomyelitis, epidural abscess, aneurysm, epidural/subdural hematoma, fracture

*Dx: Sensory level, pain, weakness, numbness, or hyperreflexia below the level of compression, bowel/bladder incontinence and saddle anesthesia with caudal equina. Differential includes tumor, disc herniation, osteomyelitis, epidural abscess, aneurysm, epidural/subdural hematoma, fracture

*Tx: Based on etiology. Don't give steroids for infection. May need neurosurgical decompression.

*Tx: Based on etiology. Don't give steroids for infection. May need neurosurgical decompression.

==Spinal Stenosis==

==Spinal Stenosis==

*H&P: Neurogenic claudication-low back pain that radiates to the buttock that is worse with spinal extension, walking downhill, and standing, better with walking downhill and leaning forward. Negative SLR.

*H&P: Neurogenic claudication-low back pain that radiates to the buttock that is worse with spinal extension, walking downhill, and standing, better with walking downhill and leaning forward. Negative SLR.

*Dx: Degenerative changes and neuroforaminal narrowing on xray or MRI.

*Dx: Degenerative changes and neuroforaminal narrowing on xray or MRI.

*Tx: NSAIDs, PT, multimodal, MNB, MND, ESI, laminectomy

*Tx: NSAIDs, PT, multimodal, MNB, MND, ESI, laminectomy

==Transverse Myelitis==

==Transverse Myelitis==

*H&P: Inflammatory spinal cord process without compression but with weakness, numbness, and autonomic dysfunction below the level of the lesion.

*H&P: Inflammatory spinal cord process without compression but with weakness, numbness, and autonomic dysfunction below the level of the lesion.

*Dx: Bright area on MRI. Test CSF to rule out HSV, VZV, Lyme, MS.

*Dx: Bright area on MRI. Test CSF to rule out HSV, VZV, Lyme, MS.

*Tx: Glucocorticoids. Plasma exchange.

*Tx: Glucocorticoids. Plasma exchange.

==Cord Syndromes==

==Cord Syndromes==

{| class="wikitable"

{| class="wikitable"

| Posterior || Dorsal columns || Loss of light touch, vibration, and proprioception bilaterally below the level of the lesion

| Posterior || Dorsal columns || Loss of light touch, vibration, and proprioception bilaterally below the level of the lesion

|}

|}