Spinal Emergencies Flashcards
1
Q
What are the 2 big spinal emergencies?
A
Acute cord compression
Cauda equina
2
Q
What does acute cord compression present with?
A
Bilateral back + radicular pain
LMN signs
UMN signs
3
Q
Where will the LMN signs be shown?
A
A level of compressiom
4
Q
Where will the UMN signs be shown?
A
Below level of compression
5
Q
What are the symptoms of cauda equina?
A
Loss of anal tone
Incontinence
Saddle anaesthesia
Bilateral/alternating radiculopathy
6
Q
What is the treatment of acute cord compression/cauda equina?
A
Depends on the cause
- Tumour = surgery/radiotherapy
- Abscess = decompression/drainage
- Large disc prolapse = laminectomy
