S2D: The Symptom to Diagnosis Podcast cover image

Weakness

S2D: The Symptom to Diagnosis Podcast

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Is There a Spinal Cord Lesion?

If someone says they're approximately weak and they don't come in and say they're roughly weak, then you're going to think about a myopathic process. Hyperreflexia would suggest upper motor neuron lesion but I want to put a word of caution here, which is when people have acute upper motor neuron lesions like a stroke. This is not one where you do a cursory from the room. Can you move everything, et cetera? But a sensory level would obviously suggest a spinal cord lesion.

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