Walking with Difficulty (Syringomyelia)

Walking with Difficulty (Syringomyelia)

1. Muscle power and tone

2. Anatomy of the spinal cord

   • Tracts
     • Ascending Tracts
       • Posterior White Column
         • Gracile and Cuneate T.
       • Lateral White Column
         • - Lateral spino-thalamic T. - Dorsal spino-cerebellar T. - Ventral spino-cerebellar T.
       • Anterior White Column
         • Ventral spino-thalamic T.
     • Descending Tracts
     • UMNL vs LMNL

3. Physiology of Reflexes

   • Classificaton

4. Expansion of central canal interferes with:

5. Causes

   • Chiari1, Trumatic, Idiopathic, Neoplastic

6. Management

   • + Surgery (posterior fossa decompression) & Life style changes

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