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BlumCase07-07 - Sexual Function • Spinal Cord Lesions...

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CASE 7.7 HAND WEAKNESS, PINPRICK SENSORY LEVEL, AND URINARY RETENTION PATIENT PRESENTATION A 26-year-old woman suddenly developed neck pain, arm pain, and bilateral hand weakness. Shortly afterward she discovered that she had urinary retention as well as fecal incontinence.
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KEY SYMPTOMS AND SIGNS Bilateral hand and triceps weakness, hypotonia, and absent triceps reflexes Sensory level to pinprick and temperature Urinary retention, fecal incontinence, and absent rectal tone CASE 7.7 Hand Weakness, Pinprick Sensory Level, and Urinary Retention
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CASE 7.7 Pinprick Testing
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RELEVANT ANATOMICAL & CLINICAL CONCEPTS Anterolateral Pathways Lateral Corticospinal Tract Dermatomes Pathways for the Control of Bladder, Bowel, and
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Unformatted text preview: Sexual Function • Spinal Cord Lesions: Localization, Differential Diagnosis, and Treatment • Spinal Cord Arterial Supply CASE 7.7 Hand Weakness, Pinprick Sensory Level, and Urinary Retention CASE 7.7 Anterior Spinal Cord Lesion, Sagittal Image CASE 7.7 Anterior Spinal Cord Lesion, Axial Image FINAL DIAGNOSIS Anterior cord syndrome caused by anterior spinal artery infarct vs. myelitis. OUTCOME Work-up for inflammatory, infectious or embolic disorders negative. Strength and urinary function improved, and she had 4/5 strength in her hands at one-year follow-up. CASE 7.7 Hand Weakness, Pinprick Sensory Level, and Urinary Retention...
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