Myelopathies

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  • čas přidán 5. 09. 2024

Komentáře • 109

  • @amirjanah9873
    @amirjanah9873 Před 2 lety +23

    As a 3rd year neurology resident, I can say this is probably the best and most organized lecture about spinal cord disorders!! AMAZING.. Thank you very much for the great effort.

  • @Ondraha
    @Ondraha Před 3 lety +58

    I have heard many lectures in my life but this one is by far the best. What a magnificent job summarizing this topic! Thank you.

    • @theneurophile
      @theneurophile  Před 3 lety +11

      Thank you. I took over a month to produce. Not an easy topic.

    • @wiltonpt1
      @wiltonpt1 Před 2 lety

      I was wondering about the statement that cord compression released by flexion and nerve root relieve by extension. Straight leg raise tenses the dura and arachnoid and that is a kink of flexion. Conversely stenosis which affects roots is relieved by flexion. Any comments??

    • @caiyu538
      @caiyu538 Před 2 lety

      @@theneurophile we deeply appreciate your great effort and share them for free. Great series.

  • @daphyD4202
    @daphyD4202 Před 3 měsíci +1

    Finally after 2 years of struggling,neurology makes sense to me. Big thanks from Uganda,Africa👏👏👏👏👏

  • @samiheikkinen5375
    @samiheikkinen5375 Před 3 lety +23

    These are beyond awesome, such high yield learning points, great illustrations and animations and the little videoclips of juxta-relevant entertainment is a combination I have yet to find elsewhere. You do a service to neurology all around the globe, and I would gladly even pay for this quality. P.S. Don't make us pay for this.

  • @caiyu538
    @caiyu538 Před 2 lety +4

    Great series, CZcams is a nice platform that we can see different excellent tutorials from different teachers from their different perspectives. They piece together to make me understand better. I follow up with your great series. Learning efficiency is much higher. Look forward to your more excellent tutorials.

  • @the-neurosurgeon
    @the-neurosurgeon Před 3 lety +6

    Amazing work . I am a neurosurgery resident. These videos are amazing. Keep up the good work .
    Please post a video for higher mental functions .

    • @theneurophile
      @theneurophile  Před 3 lety +1

      Will do.

    • @lyubomirgeorgiev1465
      @lyubomirgeorgiev1465 Před 8 měsíci +1

      Same here! This channel is one of the best on youtube, if not THE best. Insane production quality.

  • @Sandsack2311
    @Sandsack2311 Před 3 lety +1

    I like the speaker. Calm, educating, fun. I learn a lot hearing these talks. Thank you!

  • @dr.nikhilbasiltom6294
    @dr.nikhilbasiltom6294 Před 2 lety +4

    Best lecture on spinal cord yet. Wish you would expand outside neurology to other aspects of internal medicine. Looking forward to more lectures sir.

  • @emperormouse5487
    @emperormouse5487 Před 3 lety +4

    Best lecture I have ever listened to. Just starting Neuro as an M2 and this video has been invaluable. Thank you!!

  • @bigdee3731
    @bigdee3731 Před 4 měsíci +1

    Amazing work relating movies to the content. makes the content relatable and memorable. thanks

  • @alcirvogel8672
    @alcirvogel8672 Před 3 lety +2

    Thank you Dr. Igor Rybinnik, M.D. and Rutgers Robert Wood Johnson Medical School!

  • @peaceandserenity2551
    @peaceandserenity2551 Před 2 lety +4

    I’m so amazed by your way of presenting Dr. 😍 I hope to become like you someday. 😊

  • @jayanthkrishna1973
    @jayanthkrishna1973 Před rokem +1

    Pediatric neurology consultant here , loved the content , I would love to see some pediatric neurology stuff too ❤️

  • @58209
    @58209 Před rokem +1

    as a patient, this is the best resource i've encountered yet that explains why my doctors ran the tests the did when i presented with demyelinating symptoms. thank you for making this.

    • @theneurophile
      @theneurophile  Před rokem +1

      I’m sorry to hear that you are suffering with neurological symptoms and I’m glad this talk helped provide some clarity. I hope you feel better.

  • @amyjrx
    @amyjrx Před rokem +1

    Watched all the videos, amazing lectures and great PPT making!

  • @salvadorfeliperodbec
    @salvadorfeliperodbec Před 2 lety +1

    Splendid job. I suggest you to place medical disclaimers on every video as books or the "strong medicine" cannel does in order to avoid conflicts later on. Thank you for your dedication.

  • @caiyu538
    @caiyu538 Před 2 lety +1

    It is worth to revisit several times. Thumb up.

  • @DS-nr9zc
    @DS-nr9zc Před 2 lety +1

    Dude this channel is a god send

  • @nahommulatu3294
    @nahommulatu3294 Před 5 lety +5

    i extremely love your videos please please more.. if you could approach to paraplegia

    • @theneurophile
      @theneurophile  Před 5 lety +1

      Thank you. Please watch the Spinal Disorders video if you want to know about paraplegia.

    • @theneurophile
      @theneurophile  Před 4 lety +2

      Paraplegia is more of a localization issue - bilateral medial frontal lobes vs spinal cord (at any level) vs peripheral nerve roots vs peripheral nerves. So neuropathy vs plexopathy vs radiculopathy vs myelopathy vs frontal pathologies. If you can identify the correct localization, pathology and management will follow. I'll make a localization video soon to explain.

  • @mikhalcohen6095
    @mikhalcohen6095 Před 2 lety +2

    Studying for the neurology board exam. I just love your lectures. You’re doing an amazing job! Thank you!

  • @hussinmunzer4303
    @hussinmunzer4303 Před 8 měsíci +1

    Thanks very much for your presentation

  • @youngmedlion8631
    @youngmedlion8631 Před 2 lety +1

    Wow, so happy I came across these videos! Thank you for making these!

  • @ashrafshafei7220
    @ashrafshafei7220 Před rokem +1

    I can't describe my happiness with this awesome lecture; it made my day indeed.... Thanks alot, alot,... I really appreciate your great effort in making this...and really, I am waiting for more and more lectures🙏🙏.....Thanks alot☘☘

  • @shayaanp9207
    @shayaanp9207 Před 3 lety +2

    Awesome, I am learning so much, I am enjoying all your lecture series. You are some, Spinal cord always scared me but I think I am getting hold of the concept

  • @yonelagamnca285
    @yonelagamnca285 Před 10 měsíci +1

    Super super helpful. Thank you so much

  • @ΚηπΓιάννης
    @ΚηπΓιάννης Před 2 lety +1

    Amazing!!! Thanks for that masterpiece doc!

  • @intraoperativeneurophysiol127

    Very nice and comprehensive presentation.

  • @pratyushprateek1403
    @pratyushprateek1403 Před 2 lety +1

    This lecture series is so educational!
    Thank you. And best regards!
    Ps. Hope to see many more in the future. ♥️

  • @mustafaahmed4091
    @mustafaahmed4091 Před rokem +1

    That's Amazing, Thank you Dr !

  • @caiyu538
    @caiyu538 Před 2 lety +1

    Great lecture series.

  • @sagorahmed9219
    @sagorahmed9219 Před 4 lety +2

    Great Work Sir....... Need More... 😍

  • @drrafeek5390
    @drrafeek5390 Před 3 lety +1

    Excellent presentation, awesome. thank u

  • @yashwanthrao98055
    @yashwanthrao98055 Před 11 měsíci +1

    Imagine a spin-off with Sheldon and Shawn Murphy 🙂

  • @johnrowland3105
    @johnrowland3105 Před rokem +1

    Still awaiting an 'official' diagnosis after a year of scans and 'terms' expressed in the occasional letters from hospitals and Consultants. Arteriovenus Fistula being the latest and oft used within them.
    When information is in short supply (to patients) you have to go looking for potential explanations (sadly).
    Of all the 'research material' i've been looking through, this video was more enlightening (maybe) Thank you.

    • @theneurophile
      @theneurophile  Před rokem +1

      I'm very sorry to hear that you are having difficulties. I hope you receive a diagnosis and get treatment. I wish you a speedy recovery.

  • @engy_20
    @engy_20 Před 7 měsíci +1

    Perfect❤

  • @Amit8866797159
    @Amit8866797159 Před rokem +1

    Thank you so much Sir, you are awesome. The way that you have explained this complex topic in such a simplified manner shows your expertise and brilliance. I am really grateful to have attended your lecture. Thank you So Much.

  • @karankalani4211
    @karankalani4211 Před 4 lety +3

    Thank you for this amazing lecture! Is bladder dysfunction due to involvement of the sacral corticospinal fibres or motor autonomic fibres in the lateral horn. You seem to mention both.

    • @theneurophile
      @theneurophile  Před 4 lety

      Most likely due to sacral parasympathetic fiber involvement.

  • @pnarkurubektasoglu6887
    @pnarkurubektasoglu6887 Před 2 lety +1

    Excellent!

  • @sosa8968
    @sosa8968 Před 3 lety +1

    Best lecture

  • @Bulbasaur2132
    @Bulbasaur2132 Před 3 lety +1

    Thank you Dr Igor 🙂

  • @roseworld2184
    @roseworld2184 Před rokem +1

    You are amazing.Thank you a lot.😊😊

  • @OskarSrok
    @OskarSrok Před 2 měsíci +1

    Steve MissJa Buddy 😢❤

  • @vegapangaribuan6170
    @vegapangaribuan6170 Před 2 lety +1

    Waiting for your lecture on motor neuron diseases

  • @Amber-gc5cv
    @Amber-gc5cv Před 3 lety +1

    Thank you so much! This is brilliant!

  • @caiyu538
    @caiyu538 Před 2 měsíci +1

    Great great great

  • @behayluyibe7652
    @behayluyibe7652 Před 3 lety +2

    Am dr behaylu pediatric neurology fellow you present very attractive, entertaining and informative presentation thank you.
    2 questions
    1. in acte case of compressive transverse myelitis giving 10 mg dexamethasone, couldn't it may worsen if the disease is epidural abscess
    2 . how can I get the slide

  • @antonribkin5319
    @antonribkin5319 Před 11 měsíci +1

    I’m a bit confused about motor pathways damage and pattern of weakness
    If say both - anterior horns and corticospinal tracts would be damaged then what pattern of weakness (LMN or UMN) would the patient exhibit?
    Excuse my imperfect English
    Thanks in advance

    • @theneurophile
      @theneurophile  Před 11 měsíci

      That’s an excellent question. Anterior horns at each spinal level supply the muscles at that dermatome. But motor tracks are continuous. If you acutely damage motor tracks in the cervical cord for example, patients may have quadriplegia. Cervical cord lesions may also damage the cervical anterior horns, but since the arms will already be weak from motor track damage, the signs of anterior horn damage will be masked. So in general, with acute cord injury, motor track damage takes priority clinically. In chronic lesions (like motor neuron disease), you may be able to see lower motor neuron signs associated with anterior horn lesions (fasciculations, wasting, decreased reflexes) and/or upper motor neuron signs with motor tract damage (spasticity, Babinski, hyper-reflexia).

  • @lucyoriginales
    @lucyoriginales Před rokem +1

    You're so awesome!

  • @sheralishaik4237
    @sheralishaik4237 Před 3 lety +1

    Can u please make a video on neurological exam and Road traffic accident management

  • @sankettajane9854
    @sankettajane9854 Před 2 lety +1

    Thank you so much ))

  • @frankrobert9199
    @frankrobert9199 Před 2 lety +1

    great.

  • @fhibanhes
    @fhibanhes Před 2 lety

    Loveeee the lecture. Very impressed with the didactics. Now aren't there 7 cervical vertebrae rather than 8, as the video shows?

    • @theneurophile
      @theneurophile  Před 2 lety

      Sorry, that was a typo. I'll fix in the update.

  • @rubinu2
    @rubinu2 Před 3 lety +1

    I love you! Oh the humor!

  • @user-lk2gx7wz9b
    @user-lk2gx7wz9b Před 3 lety +1

    Great lecture! Thank you
    but... what about the eighth cervical vertebra on 19:32?

    • @theneurophile
      @theneurophile  Před 2 lety

      Oh sorry, that was a "typo." Cervical vertebra end at C7. Thank you for catching that.

  • @fatima-ye5xz
    @fatima-ye5xz Před 6 měsíci +1

    Can u make video on radiculopathy

  • @Mawbz
    @Mawbz Před rokem +1

    Fantastic lecture, though at 40:08 you've labelled the false lumen of the aortic dissection incorrectly, sorry to be that guy

    • @theneurophile
      @theneurophile  Před rokem

      Yes, you are correct. Thank you for pointing that out. It will get fixed when a revised video gets posted

  • @alinstoi
    @alinstoi Před 4 měsíci +1

    19:28 wait a minute... you mean that after 5 years and almost 100.000 views nobody noticed that wild C8 vertebra?? 😀

    • @theneurophile
      @theneurophile  Před 4 měsíci

      Someone did. Sorry about that. CZcams doesn’t allow corrections. I’ll remake the video when I get some time.

  • @hirusandutharumuthumadduma7478

    wow. just WOW!

  • @farahazizi6764
    @farahazizi6764 Před 2 lety

    Thank you very much for such a great explanation but i have one question
    In minute 4:10 you mentioned flexion decreases size of intervertebral foramina i looked it up it actually increases it or am i missing the point if so please do explain it if possible

    • @theneurophile
      @theneurophile  Před 2 lety +1

      Flexion should decrease the size of intravertebral foramina while increasing the size of spinal canal. Hence flexion worsens pain from radiculopathy but makes the pain from spinal stenosis a little better.

  • @brainman709
    @brainman709 Před 3 lety

    Hi, could I have the sideways tree diagram in pdf format? Thank you

  • @user-wr9ks3tf4n
    @user-wr9ks3tf4n Před 2 lety

    hello doctor, can I ask whether the term "lower motor neuron lesions/signs" include neuromuscular junction disorder and myopathy? thank you

    • @theneurophile
      @theneurophile  Před 2 lety

      “Lower motor neuron” only refers to the nerve. Neuromuscular junction and myopathy are technically different conditions.

  • @user-wr9ks3tf4n
    @user-wr9ks3tf4n Před 2 lety

    Hi doctor, in 16:33 you said the sensory deficit deficit is in ascending pattern, however most lateral part of posterior column is the innervation of cevical area ; does the proprioception loss happen in descending pattern?

    • @theneurophile
      @theneurophile  Před 2 lety +1

      Proprioception deficit with cord compression is really impossible to detect at the bedside, so we focus on pinprick/light touch instead. That is more reliable.

    • @user-wr9ks3tf4n
      @user-wr9ks3tf4n Před 2 lety

      @@theneurophile very thanks for your reply.

    • @user-wr9ks3tf4n
      @user-wr9ks3tf4n Před 2 lety

      @@theneurophile Can I ask whether the patient description of pain effectively differentiate pain between dorsal column compression , anterolateral system compression , or dorsal root compression?

    • @theneurophile
      @theneurophile  Před 2 lety +1

      @@user-wr9ks3tf4n Description of pain is unfortunately very non-specific as well. Most compressive myelopathy presents with pain, and it's unusual to have cord compression without pain. But that's I can say with any reliability.

  • @peachmelba9333
    @peachmelba9333 Před 2 lety

    I have Cervical-Spinal-Stenosis so after years of being told by family and friends I was a " Pain in the Neck" they were all correct!
    Just had # 2 of 3 epidural neck shots- We Shall See after #3 if it were worth traveling 50 miles to- 50 miles from because my Community hospital close by doesn't offer this as well as many Other Things! Why do I ever go There? THEY ARE Close? PRETTY POOR EXCUSE! Yeah- should just move back to city where my State LandGrant university and their Very Very good medical college and Hospital are located!

    • @theneurophile
      @theneurophile  Před 2 lety +1

      I'm sorry to hear about your troubles. I hope you feel better.

    • @peachmelba9333
      @peachmelba9333 Před 2 lety

      @@theneurophile oh I shall- I shall- takes a lot to get this Old Girl down- outlived several of my doctors already!

  • @ismaelmohammed1058
    @ismaelmohammed1058 Před rokem +1

    🙏❤️❤️❤️❤️❤️

  • @jillphilips3788
    @jillphilips3788 Před 3 lety

    Please What Is The Spinal Fluids Made Of It’s A Simple Straight Forward Question .

    • @theneurophile
      @theneurophile  Před 3 lety

      Spinal fluid has proteins and nutrients necessary to protect and sustain the life of nerve cells.

  • @johnnyzhang5333
    @johnnyzhang5333 Před 2 lety

    Would you be open to making the algorithm as a pdf so we can download it? thanks!

    • @theneurophile
      @theneurophile  Před 2 lety +1

      You wish has been granted. Please check the video description for a download link.

  • @didemkocabiyikoglu4587

    Hi! I thought intervertebral foramina size reduces extension and increase with flexion?

    • @theneurophile
      @theneurophile  Před 3 lety

      Intervertebral foramina reduces with flexion. One maneuver to bring on the pain of cervical radiculopathy is to tilt the head to the side and press down on the top (Spurling test).

  • @jillphilips3788
    @jillphilips3788 Před 3 lety +1

    Please You Would Think with Your Knowledge
    We Would Not Be Having These Issues On Such A Large Scale.
    Comments

  • @neuro-mars
    @neuro-mars Před 11 měsíci

    как скачать это изборажение?

  • @jillphilips3788
    @jillphilips3788 Před 3 lety

    My Issues Began after A Shot With Vaccine
    As I Was In Middle School years. Immediately entered Unconscious to The Hospital.
    Muscle Wasting every year after that.

  • @theurbanthirdhomestead
    @theurbanthirdhomestead Před 2 měsíci

    Obviously none of my doctors have watched this video.

  • @skolastikasavitri4147
    @skolastikasavitri4147 Před 2 lety

    You're interesting

  • @hornswing3371
    @hornswing3371 Před 2 lety

    20:15 C8!!??!!

    • @theneurophile
      @theneurophile  Před 2 lety

      Yes, I have to fix that in the next video. I apologize for that oversight.

    • @hornswing3371
      @hornswing3371 Před 2 lety

      @@theneurophile thanks for your sharing. I know you work really great in all these tutorial.(♡ ὅ ◡ ὅ )ʃ♡You are making the world better♥(。→v←。)♥

  • @ot8479
    @ot8479 Před 2 lety

    The intro id beyond unnecessary