Diagnosis of cauda equina syndrome in the emergency department

被引：5

作者：

Metcalfe, David ^{[1
,2
]}

Hoeritzauer, Ingrid ^{[3
,4
]}

Angus, Michelle ^{[5
]}

Novak, Alex ^{[2
]}

Hutton, Mike ^{[6
]}

Woodfield, Julie ^{[3
]}

机构：

[1] Univ Oxford, Nuffield Dept Orthopaed Rheumatol & Musculoskeleta, Oxford OX3 9DU, England

[2] Oxford Univ Hosp NHS Fdn Trust, Emergency Med Res Oxford EMROx, Oxford, England

[3] Univ Edinburgh, Ctr Clin Brain Sci, Edinburgh, Scotland

[4] Edinburgh Royal Infirm, Dept Clin Neurosci, Edinburgh, Scotland

[5] Salford Royal NHS Fdn Trust, Complex Spinal Dept, Salford, England

[6] Royal Devon & Exeter NHS Fdn Trust, Exeter Spinal Surg Unit, Exeter, England

来源：

EMERGENCY MEDICINE JOURNAL | 2023年 / 40卷 / 11期

关键词：

spine; spinal; diagnosis; DIGITAL RECTAL EXAMINATION; CLINICAL-ASSESSMENT; INTERVENTION; ACCURACY; MRI;

D O I：

10.1136/emermed-2023-213151

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Cauda equina syndrome (CES) is a spinal emergency that can be challenging to identify from among the many patients presenting to EDs with low back and/or radicular leg pain. This article presents a practical guide to the assessment and early management of patients with suspected CES as well as an up-to-date review of the most important studies in this area that should inform clinical practice in the ED.

引用

页码：787 / +

页数：7

共 53 条

[1] A Systematic Review of the Value of a Bladder Scan in Cauda Equina Syndrome Diagnosis
Alshahwani, Awf A.
Boktor, Joseph
Elbahi, Amr
Banerjee, Purnajyoti
[J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (04)
[2] Determination of potential risk characteristics for cauda equina compression in emergency department patients presenting with atraumatic back pain: a 4-year retrospective cohort analysis within a tertiary referral neurosciences centre
Angus, Michelle
Curtis-Lopez, Carlos M.
Carrasco, Roberto
Currie, Vicki
Siddique, Irfan
Horner, Daniel E.
[J]. EMERGENCY MEDICINE JOURNAL, 2022, 39 (10) : 740 - 746
[3] The Cauda Scale - Validation for Clinical Practice
Angus, Michelle
Berg, Andrew
Carrasco, Roberto
Horner, Daniel
Leach, John
Siddique, Irfan
[J]. BRITISH JOURNAL OF NEUROSURGERY, 2020, 34 (04) : 453 - 456
[4] Timing of Surgical Intervention in Cauda Equina Syndrome: A Systematic Critical Review
Anthony Minh Tien Chau
Xu, Lileane Liang
Pelzer, Nicholas Robert
Gragnaniello, Cristian
[J]. WORLD NEUROSURGERY, 2014, 81 (3-4) : 640 - 650
[5] Reliability of clinical assessment in diagnosing cauda equina syndrome
Balasubramanian, Karthikeyan
Kalsi, Pratipal
Greenough, Charles G.
Seetharam, Manjunath Prasad Kuskoor
[J]. BRITISH JOURNAL OF NEUROSURGERY, 2010, 24 (04) : 383 - 386
[6] Cauda equina syndrome - What is the correlation between clinical assessment and MRI scanning?
Bell, D. A.
Collie, D.
Statham, P. F.
[J]. BRITISH JOURNAL OF NEUROSURGERY, 2007, 21 (02) : 201 - 203
[7] Beresford-Cleary N, 2017, Spine J, V17, pS20
[8] Bestmsk spinal MRI, BESTMSK SPIN MRI PAT
[9] Expediting the management of cauda equina syndrome in the emergency department through clinical pathway design
Buell, Kevin G.
Sivasubramaniyam, Sujan
Sykes, Mark
Zafar, Kamran
Bingham, Lucy
Mitra, Anu
[J]. BMJ OPEN QUALITY, 2019, 8 (04)
[10] Chawalparit Orasa, 2006, Journal of the Medical Association of Thailand, V89, P182

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