Template:Epidural compression syndromes clinical

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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)