Show Summary Details
Page of

Diseases of the spinal cord 

Diseases of the spinal cord
Chapter:
Diseases of the spinal cord
Author(s):

A.J. Larner

DOI:
10.1093/med/9780199204854.003.2413_update_001

February 27, 2014: This chapter has been re-evaluated and remains up-to-date. No changes have been necessary.

Update:

Chapter re-evaluated and minor changes made.

A relevant case history from Neurological Case Histories: Case Histories in Acute Neurology and the Neurology of General Medicine has been added to this chapter.

Updated on 28 Nov 2012. The previous version of this content can be found here.
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2015. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy).

date: 21 September 2017

Case History—An 81 yr old man presenting with difficulty walking, paraesthiesiae in his feet, and urinary symptoms.

The spinal cord is subject to numerous pathological processes that can arise within (intramedullary) and/or extrinsic to the cord (extramedullary lesions).

Symptoms and signs suggestive of spinal cord disease include (1) motor—weakness and alteration in tone; acute cord lesions produce flaccidity (‘spinal shock’) and chronic processes spasticity, with hyper-reflexia, clonus, and upgoing plantar responses; pathological processes targeting lower motor neurons in the anterior horns typically produce early muscle wasting and fasciculation; (2) sensory—including numbness, loss of sensation, tingling, sensory ataxia; the demonstration of a sensory level and analysis of specific sensory deficit patterns are of particular importance in localizing the site, and therefore the likely cause, of any lesion; and (3) autonomic—sphincter dysfunction, most commonly affecting bladder function....

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.