CAUDA EQUINA SYNDROME

Question 1

DEFINITION

Answer 1

NEUROLOGICAL CONDITION IN WHICH CAUDA EQUINA WHICH IS PRESENT BELOW TERMINATION OF SPINAL CORD IS DAMAGED .
SEEN IN INJURIES BELOW L1 VERTEBRAE

Question 2

SPINAL CORD ENDS AT LEVEL OF

Answer 2

L1 L2 VERTEBRAE LEVEL

Question 3

CAUSE

Answer 3

TUMOUR
POTTS SPINE
CENTRAL DISC PROLAPSE
TRAUMA
ANKYLOSING SPONDYLITIS
OSTEOARTHRITIS OF SPINE

Question 4

SEX

Answer 4

MALE

Question 5

AGE

Answer 5

MIDDLE AGE

Question 6

SIGNS AND SYMPTOMS

Answer 6

SEVERE BACK PAIN
BOWEL BLADDER INCONTINENCE
SEXUAL DYSFUNCTION
SADDLE ANESTHESIA
FLACCID PARALYSIS BELOW KNEE
BILATERAL ANKLE JERK ABSENT AND EXAGGERATED KNEE JERK
POSITIVE CROSSED SLRT

Question 7

SADDLE ANESTHESIA

Answer 7

ANESTHESIA OF PERINEUM , ANUS , BUTTOCK OR NUMBNESS OF GROIN AND INNER THIGH
INVOLVEMENT OF S3 TO S5 VERTEBRAE

Question 7

MANAGEMENT

Answer 7

SURGICAL DECOMPRESSION
ANTI INFLAMMATORY DRUGS INCLUDING STEROID.
ANTIBIOTICS
ANTI TUBERCULAR THERAPY
LIFESTYLE MODIFICATION
PHYSIOTHERAPY
COUNSELLING THE CARE TAKERS

Question 8

DIAGNOSIS

Answer 8

BASED OH HISTORY AND EXAMINATION
CONFIRMED BY CT AND MRI