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Q

Anatomy of Cauda Equina

A

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Q

Etiology of Cauda Equina Syndrome

A

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Q

Etiology of Cauda Equina Syndrome

degenerative

A

Spondylosis and/or lumbar disc prolapse.

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Q

Etiology of Cauda Equina Syndrome

Neoplastic

A

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Q

CP of Cauda Equina Syndrome

A

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Q

CP of Cauda Equina Syndrome

Side?

A

Unilateral or Bilateral Asymmetrical

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Q

CP of Cauda Equina Syndrome

Sequence of symptoms

A

Painful Onset, pain precedes motor or autonomic symptoms

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Q

CP of Cauda Equina Syndrome

Pain

A

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Q

CP of Cauda Equina Syndrome

Sphincter

A

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Q

CP of Cauda Equina Syndrome

Radicular Motor Symptoms

A

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Q

CP of Cauda Equina Syndrome

Radicular Sensory Symptoms

A

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Q

CP of Cauda Equina Syndrome

Stretch Signs

A

Lassegue (straight leg raising test), Kernig’s sign,

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Q

CP of Cauda Equina Syndrome

Back

A

A. Obliteration of lumbar lordosis.
B. Scoliosis.
C. Pain - Tenderness.
D. Paravertebral muscle spasm.

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Q

INVx for Cauda Equina Syndrome

A

Plain X-ray
CT Lumbosacral
MRI Lumbosacral

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Q

INVx for Cauda Equina Syndrome

Plain X-Ray

A

Narrow of Intervertebral disc space & intervertebral foramina.
Subluxation of vertebrae
Osteophytes
Loss of lumbar lordosis
Calcification of ligaments

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Q

INVx for Cauda Equina Syndrome

CT Lumbosacral

A

Bony Lesion

Q

INVx for Cauda Equina Syndrome

MRI Lumbosacral

A

Soft tissue & Postoperative adhesions

Q

TTT of Cauda Equina Syndrome

A

Medical
Surgery

Q

TTT of Cauda Equina Syndrome

Surgery

A

Q

TTT of Cauda Equina Syndrome

medical

A

Complete bed rest
Analgesics.

Q

Site of Conus Medullaris Syndrome

A

Conus = S3,4,5 segments

Q

Symptoms of Conus Medullaris Syndrome

A

Q

CP of Conus Medullaris Syndrome

Sphincter

A

Early severe urinary incontinence (autonomous bladder)
Early fecal incontinence

Q

CP of Conus Medullaris Syndrome

Sensation

A

Saddle shaped area hypothesia of dissociated type.

Q

CP of Conus Medullaris Syndrome

Motor

A

No Motor or Sensory signs in both L.L

Q

Site of Epiconus Medullaris Syndrome

A

Epiconus = L4,5 S1,2 segments

Q

CP of Epiconus Medullaris Syndrome

A

Q

CP of Epiconus Medullaris Syndrome

Motor

A

Weakness of
* Plantar & Dorsi flexor of ankle,
* Flexor of knee,
* Extens. of hip

Q

CP of Epiconus Medullaris Syndrome

Reflexes

A

Ankle reflex: Lost with preserved knee reflex

Q

CP of Epiconus Medullaris Syndrome

sensory

A

Sensory: Loss L4 → S2 (dissociated)

Q

CP of Epiconus Medullaris Syndrome

Sphincter

A

Sphincter (precipitancy)