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Neurology > Spinal compression and Cauda equina > Flashcards

Spinal compression and Cauda equina Flashcards

1
Q

What are the causes of spinal cord compression?

A

Trauma
Neoplasia
Infection
Disc prolapse
Epidural haematoma

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2
Q

What are the features of spinal cord compression?

A

Acute UMN signs
Sensory disturbance below the lesion
Lower back pain
Bilateral sciatica
Reduced anal tone
Urinary dysfunction

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3
Q

What is the gold standard investigation for spinal cord compression?

A

URGENT MRI spine

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4
Q

What is the first line treatment of spinal cord compression?

A

Surgical decompression within 48 hours

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5
Q

What is added to the treatment in patients where the cause is suspected to be malignant?

A

Empiric steroids - dexamethasone

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Neurology (35 decks)

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