Cauda Equina Flashcards

1
Q

where is the cauda equina?

A

(L6)
L7
sacrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the typical clinical signs of cauda equina?

A

reduced tail function to flaccid tail
urinary and fecal incontinence
mild hind end weakness
lameness
pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what leads to degenerative lumbosacral stenosis?

A

big range of motion at the L7-S1 vertebral unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

who mainly gets osteochondrosis in degenerative lumbosacral stenosis?

A

german shepherd dogs
boxers
rottweilers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which breeds usually get degenerative lumbosacral stenosis?

A

german shepherd
malinois
retriever
collie
boxer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the conservative management of degenerative lumbosacral stenosis?

A

exercise restriction
NSAID
pain medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is a negative for conservative management of degenerative lumbosacral stenosis?

A

high risk of recurrence of signs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

which cases of degenerative lumbosacral stenosis should be referred to surgery?

A

pain
weakness
lameness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the common deficits with sacro caudal luxation fractures?

A

paralysis and analgesia of tail
urinary incontinence
abnormal perianal reflex
reduced to absent anal sphincter tone
hind end weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the signs with group 1 sacro caudal luxation fractures?

A

paralyzed and analgesic tail
normal urinary function
no hind end weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the common causes of cauda equina?

A

discospondylitis, abscessation
fractures, luxation
vertebral malformations, spina bifida
nerve sheath tumor, other tumors
degenerative lumbosacral stenosis
disk herniation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is degenerative lumbosacral stenosis?

A

degenerative changes of intervertebral disk, articular joint, ligament and vertebral damage produce compression of nerve roots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

where is osteochondrosis in degenerative lumbosacral stenosis usually?

A

sacrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

is there a sex predilection for degenerative lumbosacral stenosis?

A

male>female

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what can be seen on radiographs in degenerative lumbosacral stenosis?

A

collapse of disk space
end plate sclerosis
downwards elongation sacral lamina
ventral spondylosis
step formation L7-S1
OCD formation
vacuum phenomenon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the surgical options for degenerative lumbosacral stenosis?

A

dorsal laminectomy
dorsal laminectomy, fenestration of dorsal ligament, diskectomy
dorsal laminectomy with stabilization

17
Q

when is the prognosis guarded for degenerative lumbosacral stenosis?

A

working dogs
fecal or urinary incontinence

18
Q

how much compression is needed to cause clinical signs in degenerative lumbosacral stenosis?

A

moderate to severe

19
Q

how likely is a cat with group 1 sacral caudal luxation fracture to completely recover?

A

75%

20
Q

what is the prognosis of group 2 sacro caudal luxation fracture?

A

tail function returns in 75%
bladder function back in 50%

21
Q

what are the signs with group 3 of sacro caudal luxation fracture?

A

paralyzed/analgesic tail
no spontaneous urination
big bladder
manual expression difficult
reduced sphincter tone and perianal reflex
perianal sensation present

22
Q

what can be done for sacro caudal luxation fractures?

A

tail amputation if long term recovery does not occur
manually express bladder
monitor and treat UTI
treat megacolon