Page 12 - 2021 IDMT Digital
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CAUDA EQUINA SYNDROME
Introduction:
• &DXGD (TXLQD 6\QGURPH RFFXUV ZKHQ WKHUH LV DQ LQMXU\ WR WKH VSLQH FDXVLQJ
FRPSUHVVLRQ RI WKH / DQG 6 QHUYH URRWV
• 7KLV LV D PHGLFDO HPHUJHQF\ DQG PXVW EH FRQVLGHUHG LQ WKH GLIIHUHQWLDO RI DOO ORZ EDFN
SDLQ SDWLHQWV
• &DXGD (TXLQD 6\QGURPH LV RQH RI WKH SULPDU\ UHDVRQV D FRPSOHWH QHXURORJLFDO H[DP RI
WKH ORZHU H[WUHPLWLHV LV QHFHVVDU\
Subjective:
• 6LJQV DQG 6\PSWRPV
o 5DGLFXODU SDLQ DQG QXPEQHVV LQ ELODWHUDO OHJV
o 'LIILFXOW\ FRQWUROOLQJ ERZHO RU EODGGHU
8ULQDU\ UHWHQWLRQ IUHTXHQF\ LQFRQWLQHQFH
)HFDO LQFRQWLQHQFH
(UHFWLOH G\VIXQFWLRQ
o 3DUDO\VLV
o ³6DGGOH´ SDUHVWKHVLD DQHVWKHVLD
• )RFXVHG +LVWRU\
o 5HFHQW LQMXU\
o +LVWRU\ RI VSLQDO VWHQRVLV
o %RZHO RU EODGGHU SUREOHPV IROORZLQJ LQMXU\
Objective:
• 3K\VLFDO ([DP
o /RZ EDFN H[DP
o 1HXURORJLF H[DP IRFXVLQJ RQ WKH ORZHU H[WUHPLWLHV
8QDEOH WR ULVH IURP FKDLU XQDVVLVWHG
,QDELOLW\ WR ZDON RQ KHHOV RU WRHV
0RWRU RU VHQVRU\ G\VIXQFWLRQ
/RVV RI UHFWDO WRQH
• 7RROV
o ,I ; UD\V DYDLODEOH OXPEDU ILOPV PD\ EH DSSURSULDWH LI WKH\ GR QRW LPSHGH WKH
WLPHOLQH WR (9$& RU WUDQVIHU KRZHYHU WKH\ ZLOO EH RI OLPLWHG EHQHILW
Assessment:
• 'LIIHUHQWLDO
o *XLOODLQ %DUUp 6\QGURPH LQWDFW VHQVDWLRQ LV SRVVLEOH
o +HUQLDWHG QXFOHXV SXOSRVXV XQLODWHUDO UDGLFXODU V\PSWRPV
o 0XOWLSOH VFOHURVLV DVVRFLDWHG YLVLRQ SUREOHPV GLSORSLD
o 6SLQDO FRUG WXPRU SRVLWLYH %DELQVNL VSDVWLFLW\
* Cauda equina is very rare but serious
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