August 3, 2024
Cauda equina syndrome, Acute foot drop & neurogenic claudication # Cauda equina syndrome # Triad of symptoms - Cauda equina syndrome (CESR) is defined as a triad of symptoms including: bilateral lower limb radicular pain perianal sensory loss insensate urinary retention and subsequent incontinence. Often the first symptom is the radiculopathy. Urogenital symptoms last.
Terms
Cauda equina syndrome (CESR) Cauda equina in evolution (CESE) = A patient progressing through these symptoms.
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August 3, 2024
Radiculopathy # Introduction # Radiculopathy is a symptom generated by pathology affecting the nerve roots. Peripheral neuropathy is differentiated from radiculopathy by the distribution of the symptoms. Anatomy # The nerve roots ‘radiate’ from the spinal cord = radiculopathy. The root traverses four zones: the central canal (intrathecal); the lateral recess (within the root sleeve); the foramen; and the extraforaminal space . Pathology # Due to both compression and inflammation - ‘chemical neuroradiculitis’.
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