Spinal & Root Emergencies Flashcards
1
Q
What is Cauda Equina syndrome?
A
Compression of cauda equina at L1/L2
2
Q
How does Cauda Equina syndrome present?
A
Sudden onset, rapid progress Low back pain Unilateral/bilateral lower limb motor/sensory abnormality Lower limb motor weakness/sensory deficits Bowel/bladder dysfunction Urinary dysfunction Bowel disturbances Sexual dysfuntion
3
Q
How should a suspected cord syndrome be investigated?
A
MRI spine
Myelography/CT
4
Q
How should a suspected cord syndrome be managed?
A
Immbolisation of spine Surgery - remove obstructions Lesion debulking Radiotherapy if malignant Steroids in anti-inflammatory therapy
