Cauda Equina Syndrome Flashcards

1
Q

Cauda Equina Syndrome

A

compression of the spinal tail and presents as a lower motor neurone lesion

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2
Q

causes

A

disc herniation
metastases
idiopathic

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3
Q

signs

A
back pain
urinary incontinence - palpable bladder
bladder incontinence - constipation
reduced sensation on perianal area
pain down legs
fever
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4
Q

management

A

urgent 48hr MRI scan of lumbar and sacral
needle decompression
dexamethasone can be given in malignant cases

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5
Q

what cancer is most common to metastases and cause sclerotic lesions

A

prostate

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6
Q

what sign indicates a bad prognosis

A

urinary incontinence

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