Mr James Akinwunmi Consultant Neurosurgeon. Hurstwood Park Neurological Centre. Spire Gatwick Park...
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Transcript of Mr James Akinwunmi Consultant Neurosurgeon. Hurstwood Park Neurological Centre. Spire Gatwick Park...
![Page 1: Mr James Akinwunmi Consultant Neurosurgeon. Hurstwood Park Neurological Centre. Spire Gatwick Park Hospital.](https://reader034.fdocuments.net/reader034/viewer/2022050819/56649e355503460f94b238b3/html5/thumbnails/1.jpg)
Mr James AkinwunmiConsultant Neurosurgeon.
Hurstwood Park Neurological Centre.Spire Gatwick Park Hospital.
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Protection. Muscular attachment. Mobility. Support (stability).
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Disc prolapse. Spinal stenosis Radiculopathy Myelopathy Radiculomyelopathy. Instability. Tumours. Trauma.
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Urinary incontinence.Altered bowel habits. Impotence.Spastic Gait.Muscular weakness.
- foot drop.
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Change in urinary/bowel/erectile function.
Perianal numbness/incontinence.Constant unremitting backpain- ? tumour.
Muscle weakness/wasting.
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Nerve pain – radiation down the limb.
Numbness.Paraesthesia.+ve nerve stretch test.Reduce/absent tendon reflex.Muscle wasting/weakness.
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Radiculopathy. Neckpain. Numbness. Paraesthesia. Headaches.
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Anterior cervical disc prolapse. Stenosis – degenerative changes.
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Muscle wasting. Muscle weakness.
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Wasting of deltoid muscle.
Difficulty abducting the shoulder.
Poor resistance to adduction the shoulder.
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Biceps wasting. Weakness of
elbow flexion. Inability to lift
objects up.
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Triceps wasting. Weakness in elbow
extension/wrist extension.
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C8
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Leg pain. Paraesthesia. Numbness. Muscle fasciculation.
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Muscular wasting. Weakness. Changes in bladder/bowel habits.
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Wasting of quadriceps. Difficulty in climbing stairs.
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Can the patient stand and walk on their heels.
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Can the patient stand and walk on tip-toes. Is there calf wasting.
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Neurological deficits. Unremitting pain -chronic. Worsening on coughing. Nocturnal pain. Sensory level. Radicular Pain.
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Case study
Mr AB
Aged 18
Playing cricket
Developed back pain, which did not resolve with conservative measure.
Patient also had nocturnal pain.
When to GP – advised conservative management.
Patient presented to the A/E (x3) with tingling in his feet.
Patient developed difficulty in walking and latter developed paralysis.
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Case study
Mrs DARTA 8/52? Cervical #She had continues pain.Cervical muscular spasm.Could not tolerate, being without a collar.
Patient sent for physiotherapy.
Physiotherapist not happy so therefore sent for a Neurosurgical consultation.
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THANK YOU