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Y4R3 - Medicine II 🩺 > L7: Cauda Equina Syndrome > Flashcards

L7: Cauda Equina Syndrome Flashcards

1
Q

Anatomy of Cauda Equina

A
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2
Q

Etiology of Cauda Equina Syndrome

A
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3
Q

Etiology of Cauda Equina Syndrome

  • degenerative
A

Spondylosis and/or lumbar disc prolapse.

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4
Q

Etiology of Cauda Equina Syndrome

  • Neoplastic
A
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5
Q

CP of Cauda Equina Syndrome

A
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6
Q

CP of Cauda Equina Syndrome

  • Side?
A

Unilateral or Bilateral Asymmetrical

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7
Q

CP of Cauda Equina Syndrome

  • Sequence of symptoms
A

Painful Onset, pain precedes motor or autonomic symptoms

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8
Q

CP of Cauda Equina Syndrome

  • Pain
A
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9
Q

CP of Cauda Equina Syndrome

  • Sphincter
A
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10
Q

CP of Cauda Equina Syndrome

  • Radicular Motor Symptoms
A
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11
Q

CP of Cauda Equina Syndrome

  • Radicular Sensory Symptoms
A
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12
Q

CP of Cauda Equina Syndrome

  • Stretch Signs
A

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

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13
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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14
Q

INVx for Cauda Equina Syndrome

A
  • Plain X-ray
  • CT Lumbosacral
  • MRI Lumbosacral
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15
Q

INVx for Cauda Equina Syndrome

  • Plain X-Ray
A
  1. Narrow of Intervertebral disc space & intervertebral foramina.
  2. Subluxation of vertebrae
  3. Osteophytes
  4. Loss of lumbar lordosis
  5. Calcification of ligaments
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16
Q

INVx for Cauda Equina Syndrome

  • CT Lumbosacral
A

Bony Lesion

17
Q

INVx for Cauda Equina Syndrome

  • MRI Lumbosacral
A

Soft tissue & Postoperative adhesions

18
Q

TTT of Cauda Equina Syndrome

A
  • Medical
  • Surgery
19
Q

TTT of Cauda Equina Syndrome

  • Surgery
A
20
Q

TTT of Cauda Equina Syndrome

  • medical
A
  • Complete bed rest
  • Analgesics.
21
Q

Site of Conus Medullaris Syndrome

A

Conus = S3,4,5 segments

22
Q

Symptoms of Conus Medullaris Syndrome

A
23
Q

CP of Conus Medullaris Syndrome

  • Sphincter
A
  • Early severe urinary incontinence (autonomous bladder)
  • Early fecal incontinence
24
Q

CP of Conus Medullaris Syndrome

  • Sensation
A

Saddle shaped area hypothesia of dissociated type.

25
Q

CP of Conus Medullaris Syndrome

  • Motor
A

No Motor or Sensory signs in both L.L

26
Q

Site of Epiconus Medullaris Syndrome

A

Epiconus = L4,5 S1,2 segments

27
Q

CP of Epiconus Medullaris Syndrome

A
28
Q

CP of Epiconus Medullaris Syndrome

  • Motor
A

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

29
Q

CP of Epiconus Medullaris Syndrome

  • Reflexes
A

Ankle reflex: Lost with preserved knee reflex

30
Q

CP of Epiconus Medullaris Syndrome

  • sensory
A

Sensory: Loss L4 → S2 (dissociated)

31
Q

CP of Epiconus Medullaris Syndrome

  • Sphincter
A

Sphincter (precipitancy)

Y4R3 - Medicine II 🩺 (16 decks)

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