Template:Epidural compression syndromes clinical: Difference between revisions
(Created page with "{| class="wikitable" | align="center" style="background:#f0f0f0;"|'''Syndrome''' | align="center" style="background:#f0f0f0;"|'''Spinal cord compression''' | align="center" st...") |
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{| class="wikitable" | {| class="wikitable" | ||
| align="center" style="background:#f0f0f0;"|'''Syndrome''' | | align="center" style="background:#f0f0f0;"|'''Syndrome''' | ||
| align="center" style="background:#f0f0f0;"|'''Spinal cord compression''' | | align="center" style="background:#f0f0f0;"|'''[[Spinal cord compression]]''' | ||
| align="center" style="background:#f0f0f0;"|'''Conus medullaris syndrome''' | | align="center" style="background:#f0f0f0;"|'''[[Conus medullaris syndrome]]''' | ||
| align="center" style="background:#f0f0f0;"|'''Cauda equina syndrome''' | | align="center" style="background:#f0f0f0;"|'''[[Cauda equina syndrome]]''' | ||
|- | |- | ||
| Lesion||Back pain with neuro deficits||Lesions at vertebral level L2||Low Back Pain | | Lesion||Back pain with neuro deficits||Lesions at vertebral level L2||Low Back Pain | ||
Revision as of 03:46, 7 April 2015
| Syndrome | Spinal cord compression | Conus medullaris syndrome | Cauda equina syndrome |
| Lesion | Back pain with neuro deficits | Lesions at vertebral level L2 | Low Back Pain |
| Weakness in lower extremities, paresthesias/sensory deficits, gait difficultly | Early and prominent sphincter dysfunction with flaccid paralysis of the bladder and rectum, impotence, and saddle (S3-S5) anesthesia | Urinary retention with or without overflow incontinence (Sn 90%, Sp 95%) | |
| Deficits usually affect both legs but are often asymmetric | Rectal incontinence | ||
| Bladder and rectal sphincter paralysis usually reflect involvement of S3-S5 nerve roots | Bilateral sciatica | ||
| Saddle anesthesia (75% pts) | |||
| Decreased anal sphincter tone (60-80% pts) | |||
| Difficulty ambulating and/or wew foot-drop | |||
| Symptoms worsened by coughing (increases intraspinal pressure) |