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MED2100 & MED2200 - Foundations of medical practice & principles of medicine 2 - Clayton - FY 2025

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Loss of bilateral proprioception and discriminative tactile sensation below level of involved segment

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Unilateral lower motor neuron lesion at the level of involved segment

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Bilateral upper motor neuron lesion below the level of involved segment

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Loss of all sensation above the level of involved segments

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Bilateral cutaneous anaesthesia (loss of pain/temperature sensation) below level of involved segment

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A set of clinical manifestations known as anterior cord syndrome can occur from anterior spinal artery occlusion or trauma to the front of the spinal cord. The classic signs and symptoms are: 

 Bilateral lower motor neuron lesion at the level of involved segment

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There will be complete loss of sensory function below the level of lesion

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There will be complete loss of sensory function above the level of lesion

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There will be complete loss of motor function below the level of lesion

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The above MRI scan finding is consistent with a complete cord transection, which can happen in car accidents, bullet injuries or other aetiologies. What would you expect to find when examining a patient with this condition? 

There will be incomplete loss of motor function below the level of the lesion

 

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