Abstract
The chapter aims to provide a comprehensive overview of the screening and diagnostic processes for spinal cord injuries and lesions. The chapter highlights the importance of performing a quick neurologic examination to identify potential spinal cord injuries, which can be followed by more detailed examinations to determine the site and nature of the injury. Pathological reflexes, such as Babinski’s sign and spasticity accompanied by hyperactive deep tendon reflexes, are typical neurological symptoms that suggest the presence of a spinal cord injury. Accurate neurological and functional assessments must be performed repeatedly to detect changes in neurological status, determine the neurological level of injury, and identify specific impairments and rehabilitation goals. Sensory changes can also provide valuable information for determining the location and nature of the injury. Accurate distinction is necessary when there are differences in the distribution of weakness and reflexes between upper and lower motor neuron lesions. Overall, this chapter provides a practical and systematic approach for clinicians to identify and assess spinal cord injuries and lesions, which is essential for accurate diagnosis and effective management of patients with spinal cord injuries.
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Ko, HY. (2023). Identifying and Assessing Spinal Cord Lesions: Clinical Approach. In: A Practical Guide to Care of Spinal Cord Injuries. Springer, Singapore. https://doi.org/10.1007/978-981-99-4542-9_11
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