Definition and classification

  • What do you mean by paraplegia and paralysis?
  • What is cerebral paraplegia? hl
  • What is paraplegia in flexion and paraplegia in extension? A, hl
  • What is mass reflex? a

Epidemiology

  • Q

Etiology and Pathophysiology

  • What is the common chronic infection causing paraplegia? H79
  • What are the causes of spastic paraplegia? A, h78
    • What are the most common causes of spastic paraplegia? A
    • What are the causes of spastic paraplegia due to cerebral lesion? A
    • What are the non-compressive causes of spastic paraparesis or paraplegia? A, hl
    • What are the causes of spastic paraplegia with definite sensory level? Hs93
    • What are the causes of spastic paraplegia without sensory loss? hs93
    • What are the causes of spastic paraplegia with dorsal column loss? hs93
    • What are the causes of spastic paraplegia with spinothalamic column loss? hs94
  • What are the causes of spinal cord compression? H77
  • What are the causes of spinal cord compression according to the site of lesion? A
  • What are the causes of paraplegia without sensory loss? hl
  • What are the causes of dissociated sensory loss? hs94
  • What are the causes of paraplegia of sudden onset? A, hl
  • What are the causes of absent ankle jerk, but extensor plantar response? A
  • What are the causes of flaccid paraplegia? A
  • What are the causes of hypotonia? A
  • What are the causes of hypertonia? A
  • What are the causes of cerebral paraplegia? Hl
  • Which factors would help to identify the cause of spastic paraplegis? Hs93

Clinical manifestations

  • What are the symptoms of spinal cord compression? A
  • What are the features of cerebral lesion causing paraplegia? A
  • What are the features of Brown-Séquard syndrome? Hl

Examinations

  • What are the cardinal signs of spinal cord compression? A
  • How to find out the sensory level in spinal cord compression? A / How to find out vertebral level? hl
  • What are the findings of spinal cord compression at different levels of spinal cord? A
  • What is the difference between rigidity and spasticity? A
  • What are the signs of pulmonary fibrosis present in this patient? hl

Investigations

  • What investigations should be done in spastic paraplegia? a
  • How will you investigate this patient? Hl
    • What are your expected findings in X-ray of dorsal spine? hl

Diagnosis

  • Why do you think spastic paraplegia? hl
    • Why is it spinal cord compression? A, hl
    • Why do you think Pott’s disease? Hl
    • Why do you think this is active pulmonary tuberculosis? Hl
    • Why do you think extrinsic spinal cord compression? hl
  • What do you think the causes of cord compression in this case? a
  • What is the site of your lesion? A, hl
  • At what vertebral level is this lesion? hl
  • What are your differential diagnoses? A
    • Why not MND? A
    • Could it be due to SCD? A, hl
    • Why is this not multiple sclerosis? hl
    • Could it be due to Friedreich’s ataxia? A

Treatment

  • How will you treat this patient? Hl
  • How long will you give anti-TB drug? Hl

Complications

  • Q

 

 

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