Neurologyc

Question 1

Cauda equina syndrome,

Answer 1

Algo presiona los nervios de la columna necesita cirugia

Cauda equina syndrome (CES) is a serious neurologic condition in which damage to the cauda equina causes loss of function of the lumbar plexus (nerve roots) of the spinal canal below the termination (conus medullaris) of the spinal cord. CES is a lower motor neuron lesion.

Question 2

Caudal esquina syndrome

Answer 2

Severe back pain
Saddle anesthesia (see diagram), i.e., anesthesia or paraesthesia involving S3 to S5 dermatomes,[1]:26 including the perineum, external genitalia and anus; or more descriptively, numbness or “pins-and-needles” sensations of the groin and inner thighs which would contact a saddle when riding a horse.
Bladder and bowel dysfunction,[2]:216 caused by decreased tone of the urinary and anal sphincters. Detrusor weaknesses causing urinary retention and post-void residual incontinence as assessed by bladder scanning the patient after the patient has urinated.
Sciatica-type pain on one side or both sides, although pain may be wholly absent
Weakness of the muscles of the lower legs (often paraplegia)
Achilles (ankle) reflex absent on both sides.[2]:216
Sexual dysfunction
Absent anal reflex and bulbocavernosus reflex
Gait disturbance
Severe back pain, saddle anesthesia, incontinence and sexual dysfunction are considered “red flags”, i.e. features which require urgent investigation.[3]