Spinal syndromes

Question 1

Give 5 red flags of lower back pain

Answer 1

Previous history of malignancy
History of trauma
Saddle anaesthesia
Incontinence
Thoracic back pain
Immunosuppression

Question 2

Ipsilateral loss of motor and proprioception with contralateral loss of pain and temperature

Answer 2

Brown-Sequard

Question 3

Loss of pain and temperature in cape-like distribution, wasting of hands and arms

Answer 3

Syringomyelia

Question 4

Back pain, double incontinence, UMN and LMN signs. No sensory loss. What is the problem?

Answer 4

Conus medullaris syndrome

Question 5

Back pain, saddle anaesthesia, leg weakness, incontinence. What is the diagnosis? Occurs bilaterally

Answer 5

Cauda Equina Syndrome